NICU

NICU

Calculations

Common calculations you will experience in the NICU.

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Typical Feeding Calculation

- When calculation feeds, it is over a span of 24 hours-In order to stay hydrated infant's are fed every 3 hours (q3hrs) - 24 hours / q3hrs = 8 feeds a day --As long as they are fed q3hrs you will always multiply by 8 - 8 feeds/day X # mL (milk/formula) / kg (weight) = # mL/kg/day

Ad lib Feeds

• They can take as much as they want.
• Sometimes the providers will set a minimum and/or a goal for the day.
• In the order set it is usually written as a shift minimum/goal for the nurse. A nurse shift is only 12 hours, but we want to calculate to full volume for the day (24 hours)
• Equation: # mL (shift minimum/goal) X 2 (24 hours)/ kg=# mL/kg/day

Continuous Feeds

• Any time you see the feeding ordered as such;
• # mL/hr, this means they are on continuous feeds, meaning they are getting fed a certain volume every hour all day
• Equation: 24 hours X mL (feeds) / kg (weight)= mL/kg/day

Ad lib Feeds

• They can take as much as they want.
• Sometimes the providers will set a minimum and/or a goal for the day.
• In the order set it is usually written as a shift minimum/goal for the nurse. A nurse shift is only 12 hours, but we want to calculate to full volume for the day (24 hours)
• Equation: # mL (shift minimum/goal) X 2 (24 hours)/ kg=# mL/kg/day

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