Ati peds drug dosage calculation assessment proctored exam
A 23-kg child requires maintenance IV fluids. Based on the maintenance fluid calculation guidelines, what is the appropriate total daily fluid volume (in mL) the nurse should plan to administer?
Explanation & Rationale
Calculation: Identify the child's weight and the standard maintenance fluid (Holiday-Segar) formula Weight: 23 kg Formula: First 10 kg: 100 mL/kg Second 10 kg: 50 mL/kg Each kg above 20 kg: 20 mL/kg Calculate the volume for the first 10 kg 10 kg * 100 mL/kg = 1,000 mL Calculate the volume for the second 10 kg 10 kg * 50 mL/kg = 500 mL Calculate the volume for the remaining weight (23 kg - 20 kg = 3 kg) 3 kg * 20 mL/kg = 60 mL Calculate the total daily maintenance volume Total Volume = 1,000 mL + 500 mL + 60 mL = 1,560 mL/day
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