I would like to know your approach to a newborn with hypernatremia and dehydration.
How do you calculate fluid therapy?
For example: term newborn, birth weight 3 kg. 7 days of life. In the emergency department the baby weight is 2,600 kg. Na 170 mEq/l.
In my hospital we correct taking into account water deficit (0.7* Weight in grams * [ Na/140 − 1])
We correct water deficit in 72 hours.
So the fluids would be:
Glucose 10% 437,7 ml
ClK 1M 5,4 ml
ClNa 20% 2,4 ml
Calcium gluconate 10% 13,5 ml
Drip rate 18,2 ml/h
Is there a limit of maximal fluids in 24 hours?