The Intravenous fluids CPG has been updated with a full overhaul as part of our suite of hydration CPGs.
The Key points for the CPG are
- Whenever possible, the enteral route should be used
- In most situations, the preferred fluid type is sodium chloride 0.9% (with glucose 5% +/- potassium for maintenance fluid)
- Most sick children will retain water and require less than full maintenance fluids
- Serial weights are the best measure of acute changes in fluid status
Other significant updates to the CPG include
- For children with >5% dehydration, the rehydration approach is to replace 5% in the first 24 hours and the remainder over the following 24 hour
Intravenous fluids was an existing Victorian CPG and will be considered for PIC endorsement on 26 November. The revision was discussed by the CPG committee on 15 July 2020.