The Neonatal Intensive Care Units (NICUs) at Riley Hospital for Children and IU Health Methodist Hospital are putting visitor restrictions in place starting Monday, Nov. 18th. Only visits by parents plus four designated adults identified by the parents will be allowed on the NICU floor.
Siblings and children under 18 will not be permitted. These restrictions minimize risk of infection to patients already at risk and will be in place through spring 2020.
Pediatrics patients who require aggressive fluid therapy:
PRBCs may be given to patients with a condition and/or history suggesting:
Replacement therapy for PRBCs:
24-hour fluid calculations formula:
0 - 10 kg = 100 ml/kg + 10 - 20 kg = 50 ml/kg + >20 kg = 25 ml/kg Equals: Total volume for 24 hours | Hourly fluid calculations formula (4-2-1 rule):
0 - 10 kg = 4 ml/kg/hr + 10 - 20 kg = 2 ml/kg/hr + >20 kg = 1 ml/kg/hr Equals: Hourly infusion rate | |
Example:
Using 24 hour calculations for a 22 kg child 1000 ml (for first 10 kg pt weight) + 500 ml (for the second 10 kg pt weight) + 50 ml (for the last 2 kg of pt weight) Equals: 1550 ml/24 hours or 64.5 ml/hour | Example:
Using 4-2-1 rule for 15 kg child 40 ml/hr (for first 10 kg) + 10 ml/hr (for last 5 kg) Equals: 50 ml/hr |