QuestionSBA
QuestionChoice
This child requires 1740ml fluid/day (i.e. 72 ml/hour) according to the Holliday-Segar formula ( (100x10) + (50x10) + 20x12) ). NICE recommends administering isotonic crystalloids that contain sodium in the range of 131–154 mmol/litre in the first instance. Glucose may also be included.
10036047
a
72 ml/hour 0.9% sodium chloride with 5% glucose
QuestionChoice
Although this child requires 1740ml fluid/day according to the Holliday-Segar formula, NICE recommends administering isotonic crystalloids that contain sodium in the range of 131–154 mmol/litre in the first instance. Administering only 5% glucose may result in hyponatraemia.
10036048
b
1740 ml/day 5% glucose solution
QuestionChoice
This would be an inappropriate choice; while a fluid bolus of 10-20 ml/kg can be considered for resuscitation in shocked patients, there is no indication that this is currently the case.
10036051
e
640 ml over 15 minutes 0.9% sodium chloride solution
QuestionChoice
This child requires 1740ml fluid/day (i.e. 72 ml/hour) according to the Holliday-Segar formula. NICE recommends administering isotonic crystalloids that contain sodium in the range of 131–154 mmol/litre in the first instance. Glucose may also be included.
10036049
c
145 ml/hour Hartmann's solution
QuestionChoice
This would be an inappropriate choice; while a fluid bolus of 10-20 ml/kg can be considered for resuscitation in shocked patients, there is no indication that this is currently the case. Furthermore, 5% glucose is an inappropriate choice for fluid resuscitation.
10036050
d
320 ml over 15 minutes 5% glucose solution
QuestionComment
i just gave the patient 2 litres of sugar 
53652
User
subscriber
C.difficult
Concept
Chapter
2693
6182
Fluid prescription in children
Topic
153
Paediatrics
19613
For children requiring maintenance fluids, use the Holliday-Segar formula to calculate daily fluid needs and consider isotonic crystalloids.
An 8-year-old boy weighing 32kg is admitted to the paediatric ward with acute appendicitis. He is awaiting an appendectomy and has been made nil by mouth so requires maintenance fluids.

What is the most appropriate 24hr fluid regime to prescribe?
a