Fluid restricción

[Guest mmerocru]

Bdp and ductus treatment include fluid restricción. 110-130 ml/ kg/ d. The question is: oral or ev?

Does anybody use 2/3 of oral liquid??

[Stefan Johansson]

We add fluid restriction (not always, but usually) as one "treatment modality" for infants BPD or PDA. But we do not go as far as to 110-130, but reduce less dramatic to 160 ml/kg/d.

Even at that level we usually need to boost up the breastmilk-fortifications to maintain adequate nutrition.

[Guest mmerocru]

Thank you very much. But when you said 160 ml/kg/d is your total aport? do you considerer that enteral feeding has an absortion of 2/3?. If so, you have to feed with 160 ml/kg/d + ++,

I usually use 160 ml/kg/d. But we have disapointment, another collegue think we have to give more liquid, and calculate that baby will only gets the 2/3 of this. Thank you

[Stefan Johansson]

We refer to the actual volume going in (iv or po), i.e. 160 ml/kg/d is the total volume given (iv or po) and not the estimated volume absorbed.

[nashwa]

I do fluid restriction to 130ml/kg in PDA , it reduce clinical symptoms

[Guest mmerocru]

Thank you Stefan. I do so.

Nashwa do you have bibliogrphy? where are you from?

[nashwa]

Read conservative ttt of PDA in pt to Sophie Vanhaesebrouk