TBW:

---

Fluid mainanace formula

For 0 - 10 kg = weight (kg) x 100 mL/kg/day.
For 10-20 kg = 1000 mL + [weight (kg) x 50 ml/kg/day]
For > 20 kg = 1500 mL + [weight (kg) x 20 ml/kg/day]

Calculated fluids per TBW

Fluids mL/day:
Fluids mL/hr:

Fluids Rx

IV full NS + 1gKCl/500 ml (chk to update to TBW)
IV Dex 5% NaCl 0.45% KCl 0.224% (chk to update to TBW)
IV NaCl 3% 30ml/h

---

Drips

drip Insulin Actrapid (50 units in 50ml FNS [1ml = 1 unit]),
drip Milrinone (10mg in 50ml FNS [1ml = 0.2mg]),
drip Precedex (200mcg [2ml]) + FNS 48ml (1ml = 4mcg),
drip Propofol 1% 2%,
drip RemiFentanyl (5mg in 50ml FNS [1ml = 0.1mg]),
drip Fentanyl (1mg [20ml]) + Midazolam (50mg [10ml]) + 20ml FNS,
drip Midazolam (50mg [10ml]) + FNS 40ml (1ml = 1mg),
drip MO (50mg [2.5ml]) + Midazolam (50mg [10ml]) + 37.5ml FNS,
drip MO (50mg [2.5ml]) + FNS 47.5ml (1ml = 1mg),
drip Adrenaline (1mg = 1ml) 4mg 8mg 16mg + FNS ,
drip Noradrenaline (1mg = 1ml) 4mg 8mg 16mg + FNS ,
drip Dopamine (200mg [5ml]) + FNS 45ml (1ml = 4mg),

---

Hypokalemia correction

IV KCl 1g once
PO PZ SOPA-K 40 meq q8h

---

CVS Rx

BP control

IV Nicardipine 2mg PRN if SBP > 160
IV Labetalol 5mg PRN if SBP > 160 + HR > 60

PO PZ Nimotop 60mg q4h

---

Gastroprotection

IV Controloc (Pantoprazole) 40mg q24h
IV Nexium (Esomeprazole) 20mg q24h
PO Omeprazole 40mg q24h

Laxatives

PO PZ Normalax 17g q24h
PO PZ Avilac 30ml q24h

N/V pPx

IV Zofran (Ondansetron) PRN (0.15 mg/kg)
IV Pramin (Metoclopramide) PRN (0.1 mg/kg)

---

Bronchodilators

Inh Aerovent 0.5cc q8h
Inh Budesonide 1mg q12h

---

Insulin

IV Ins. NovoRapid q8h for Glu 180-250 mg/dl → 2 IU; 251-300 mg/dl → 4IU;
...................................  301-350 mg/dl → 6IU; 351-400 mg/dl → 8IU;
...................................    >400 mg/dl, → 10IU & call MD.

---

Pain meds

IV Optalgin PRN (10 mg/kg)
IV Acamol PRN (10 mg/kg)

---

VAS 1-4 IV Optalgin 1g q8h IV Tramal 50mg PRN q6h IV Pramin

VAS 5-7 IV Tramal 100mg q8h IV Optalgin 1g q8h IV MO 3mg PRN q6h IV Pramin

VAS 8-10 IV PCA IV Optalgin 1g q8h IV Tramal 100mg PRN q6h IV Pramin

---

AED & ICP

Loading dose

IV Keppra bolus (30mg/kg)

IV Keppra q12h (15mg/kg)

---

IV Mannitol 20% in 500ml (100gr) bolus

---

Hematology Rx

IV Hexakapron 1g once

---

Blood products

IV RBC once
IV PLT once
IV FFP once

IV PCC (Octaplex) 1ml/min once
IV Vit. K in 50ml D5W 2.5ml/min once

---

Steroids

IV Dexamethason
nasal Dexamycin (Dexamethasone) q8h

---

Abx

IV Cefazolin q8h (30mg/kg)
IV Clindamycin 600mg q8h
IV Vancomycin q12h (15mg/kg)
IV Fortum (Ceftazidime) q8h (30mg/kg)
IV Tazocin 4.5g q8h
IV Meropenem 1g q8h
IV Gentamicin q8h (3mg/kg)
IV Rocephin (Ceftriaxone) q24h (50mg/kg)

---

_{Day out of}

 

---

Reset NICU ER