4ml/kg/tbsa has been the standard formula used in most ed settings in Australia and ANZBA has further endorsed this for adults.
Most Paediatric centres in Australia actually suggest 2 or 3 ml/kg / tbsa – which is a modified formula
Hartmanns is the suggested fluid
Remember to provide maintenance in children split between
NGT 10 ml/ hr as feeds or ors
And
Iv Hartmanns 5% dextrose.
Remember to suntract any bolus NS from parklands.
Summary :
If shock – NS 10-20ml/kg
Modified parklands – 2 or 3 ml/kg/tbsa Hartmanns
( sorts our deficit)
Maintenance
10ml/hr NGT ors or milk
Iv Hartmanns 5% dextrose.
Assess for losses
Check out :
tpched.org