Question

1. A pediatric client weighing 11.8 kg needs maintenance fluids during NPO status. The physician orders the following: IVF 0.9% sodium chloride, weight based x24 hours. What is the total mL this client needs HOURLY according to fluid requirement calculations? (remember, calculate your daily need and divide by 24)

______________________mL/hr *round to the nearest whole number

Answer 1

The total hourly IV fluid requirement for the pediatric client weighing 11.8 kg during NPO status is approximately 45 mL/hr when rounded to the nearest whole number.

Step-by-step explanation:

To calculate the total hourly IV fluid requirement for a pediatric client weighing 11.8 kg during NPO status, we use the standard pediatric fluid requirement calculation:

• For the first 10 kg weight: 100 ml/kg
• For the next 10 kg weight: 50 ml/kg
• For every additional kg weight: 20 ml/kg

In this case, the patient is 11.8 kg, so we calculate as follows:

First 10 kg: 10 kg x 100 ml/kg = 1000 ml

Remaining 1.8 kg: 1.8 kg x 50 ml/kg = 90 ml

Adding both amounts gives us the total daily fluid requirement.

Total daily need = 1000 ml + 90 ml = 1090 ml

To find the hourly rate, we divide this by 24:

Hourly need = 1090 ml / 24 hours ≈ 45.42 ml/hr

When rounding to the nearest whole number, the IV fluid requirement is 45 mL/hr.