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IV volumes the first 3 days of life

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  • Stefan Johansson changed the title to IV volumes the first 3 days of life

We usually start at 60-80 ml/kg/day on the first day for moderate/late preterm and full-term, and a little higher at 80-100 ml/kg/day for very preterm, and 100-140 ml/kg/day for extremely preterm newborns. Then we advance 10-20ml/kg each day on the following days. The glucose infusion rate is usually 3.5 to 4 mg/kg/minute or even lower for extremely preterm instead of 6 mg/kg/min due to a high percentage of significant hyperglycemia. So the volume of Dextrose 5% and 10% will be gauged accordingly. I am not sure whether a higher rate of glucose infusion with Insulin or a lower acceptable rate of glucose is better in terms of hyperglycemia among extremely preterm newborns.

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