NICU Β· Fluid & Electrolyte Calculator
⚑ Starter
πŸ‘Ά Patient
Weight
g
mL/kg/d
mL/hr
mL/day
mL/kg/d
Bag Volume
250 mL
500 mL
1000 mL
30 mL
πŸ’Š Drip Order
πŸ’Š Single fluid
βš—οΈ Y-line
β€”
mg/kg/min
GIR
β€”
mL/hr
Run rate
β€”
mL/day
Daily vol
Central line? β†’ Heparin
0.5 U/mL final concentration
πŸ“‹ Mix Sheet β–Ά
βš—οΈ Electrolytes Β· tap column header for math
🍬 Dextrose
%
Dex %
Target GIR
Dex %
None
D5
D10
D12.5
D15
D20
πŸ§‚ Sodium
mEq/kg/d
Dose mEq/kg/d
1
2
3
4
or
ΒΌNS
Β½NS
NS
🍌 Potassium
mEq/kg/d
0
1
2
3
4
KCl
K-Acetate
🦴 Calcium
mg/kg/d
0
100
200
300
Ca-Gluconate 10% Β· 100 mg/mL
πŸ“ The Math Behind It
β–Ά expand
πŸ“ One Formula
Dose math
dose Γ— weight = total/day
total Γ· conc = mL/day
Γ— (bag Γ· daily) = mL to add
Sodium
conc Γ— bagVol = mEq in bag
already in base fluid β€” nothing to draw up
GIR
Dex% Γ— rate Γ· 144 = mg/kg/min
Stoichiometry
A/B = C/D  β†’  solve C = AΓ—D/B
same calc, every electrolyte
βš—οΈ Live Example
Patient
850g Β· 120 mL/kg/d Β· 250mL bag
🍌 Potassium
2 Γ— 0.85 = 1.70 mEq/day
Γ· 2 mEq/mL = 0.85 mL/day
Γ— 250Γ·102 = 2.08 mL β†’ add βœ“
🦴 Calcium
200 Γ— 0.85 = 170 mg/day
Γ· 100 mg/mL = 1.70 mL/day
Γ— 250Γ·102 = 4.17 mL β†’ add βœ“
πŸ§‚ Sodium (base fluid)
Β½NS = 0.077 mEq/mL Γ— 250mL
= 19.25 mEq Na in bag
⚑ GIR
10% Γ— 120 Γ· 144 = 8.3 mg/kg/min
🎯 Final Bag
GIRβ€”
Naβ€”
Kβ€”
Caβ€”
Runβ€”
bag Γ· dailyVol = scale fraction
mL/day Γ— fraction = mL to add