hi ..

i have questions to ask regarding uptodate -evidence based - fluid therapy in any sick

( especialy ventilated babies ) ..

what we do in our unit is to push fluid by 30 cc more everyday for stable babies (60 -90-120 in 1st 2nd 3rd day: Term baby ) and to advance by 20cc in sick ventilated babies ( 60-80-100 in 1st 2nd 3rd day:Term baby ) .

ive read articls about the proved benifits of fluid restriction ( esp ventiated babies )

also (this was very interesting) ,that if you delay Na supplemantation until after baby loss wt

( physiological expected ) and then add Na , this practise associated with better outcome .

in our unit : we use 10% dextrose in first day , after that from the second day we add Na ( 1/2 10% dextrose saline ) ..

so :: whats your policy in fluid restriction ?

do you check B.wt daily and star Na when you see falling in wt ?

how could i apply this uptodate knowledge??

thanks in advance .

Restriction in ventilated babies is not done in our unit although it sounds logic. And sodium is is given by being added to Dextrose 10 % in 2 mmol/kg  day 2 and readjusted according to Na  levrl daily either in serum or CBG.