• Patients should have an IV fluid management plan, which should include details of: - The fluid and electrolyte prescription over the next 24 hours - The assessment and monitoring plan. Initially, the IV fluid management plan should be reviewed by an expert daily. IV fluid management plans for patients receiving longer term IV fluid. Calculating IV Fluid Rate/Volume. Caution should be exercised in using "maintenance" IV fluids at rates above the calculated maintenance; fluid replacement should be calculated separately to account for ongoing losses. 4-2-1 rule (100-50-20 rule) 4 mL/kg/hr (100 mL/kg/day) for the first 10kg PLUS. 2 mL/kg/hr (50 mL/kg/day) for the second 10kg PLUS.

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1 Introduction2 Crystalloids2.1 Dextrose2.2 Normal Saline2.3 Hartmann's Solution2.3.1 Hartmann's Solution and Acidosis3 Colloids4 Key Points Introduction Fluid management is an essential part of a junior doctor's practice and hence knowledge of the composition for each intravenous fluid prescribed is essential. This article discusses the composition of commonly prescribed crystalloids.. Solution 2/3-1/3 D5W & Normal Saline 1L. Solution 2/3 +1/3 40 mEq of KCL per 1L Solution 2/3-1/3 D5W & Normal Saline 500mL. Solution 2/3-1/3 D5W & Normal Saline 1L Code: IVSOL0011. Vendor: Code: Calea JB1034X. Manufacturer: Code: Baxter. JB1034. Ask a question about this product. Product Categories. Enteral Supplies. Adaptors.