Neonatal Physiology: Things That Make Them Special! [chapter]

Christine M. Houser
2013 Pediatric Development and Neonatology  
Neonates have a higher percentage of fl uid in their body weight than older kids and adults. In addition to the general fl uids guidelines for pediatrics there is a special adjustment for neonates. Compute the maintenance fl uids required, then decrease it by 1/3 on the fi rst day of life, and by 1/4 on the second day. This is because neonates have a natural diuresis to reduce their fl uid content toward normal in the fi rst week of life. (You wouldn't want to overload them as they are trying
more » ... s they are trying to decrease their fl uid content.) Also, neonatal hearts are not able to increase stroke volume very well. If a neonate needs to increase oxygen delivery, it will increase the heart rate.
doi:10.1007/978-1-4614-8681-7_2 fatcat:miqakj4dsbbcljexok4ucswk4u