![]() ![]() Treat shock with bolus IV fluids to restore circulatory volume: Resuscitation: care of the seriously unwell neonate Polyuriaespecially in the pre-term neonate (>6 mL/kg/hr is generally considered an indication to assess for polyuria in neonates, discuss with specialist)įor the neonate with signs of shock, refer to.Short gut or other significant gastrointestinal pathology.Hypernatraemia and notify senior clinician Weight – up to 10% loss in a healthy term neonate in week one of life is considered normalġ45 mmol/L (or significant change of >0.5 mmol/L/hr on a repeat measure) – see.Urine output and other fluid losses – check total fluid balance.Signs of fluid overload – eg periorbital, genital, sacral or peripheral oedema.TBW reduces in the first week of life, resulting in an expected weight loss of up to 10% in a term neonate The percentage of Total Body Water (TBW) changes with increasing gestational age.For all neonates, start enteral feeds as soon as possible.The goal of fluid administration is to maintain hydration and achieve biochemical balance, particularly to avoid hypoglycaemia and hyponatraemia.If a neonate weighs less than birth weight, utilise birth weight in all fluid calculations, unless specified.Parenteral nutrition is preferred for any neonate needing IV fluids >5 days. ![]() For neonates greater than 32 weeks and 1500g requiring short term intravenous (IV) therapy, the preferred fluid type is glucose 10% in the first 24-48 hours of life, followed by fluids that contain sodium and potassium.Whenever possible, the enteral route should be used. ![]()
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