Ati RN pediatrics 302 proctored exam 2
Cierra, a 10-year-old female weighing 36kg, is now NPO for surgery in the morning and needs _____ of maintenance fluids.
Explanation & Rationale
Step 1: Use the Holliday-Segar formula for maintenance fluids: For the first 10 kg: 100 mL/kg/day For the next 10 kg: 50 mL/kg/day For any additional kg over 20 kg: 20 mL/kg/day Step 2: Calculate for 36 kg First 10 kg → 10 × 100 = 1,000 mL Next 10 kg → 10 × 50 = 500 mL Remaining 16 kg → 16 × 20 = 320 mL Total = 1000 + 500 + 320 = 1,820 mL/day Step 3: Convert to hourly rate 1820 mL/day ÷ 24 hr = 75.8 mL/hr = 76 mL/hr (rounded off to the nearest whole number.
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