Parenteral Electrolyte & Vitamin/Mineral Guidelines in Pediatric Patients

 

Electrolyte or Nutrient Preterm Infants Term Infants Children and Adolescents
Sodium (mEq) 2.0 - 6.0 (average 3.0) mEq/kg 2 - 4 mEq/100 ml
Potassium (mEq) 2.0 - 6.0 (average 3.0) mEq/kg 2 - 3 mEq/100 ml
Chloride (mEq) 2.0 - 8.0 (average 4.0) mEq/kg 2 - 3 mEq/100 ml
Calcium (mEq) 2 - 4 mEq/kg 0.5 - 2 mEq/100 ml
Phosphate (mEq) 1.5 - 3 mEq/kg 1.5-2.5 mEq/100 ml
Magnesium (mEq) 0.25 0 2.0 (average 1.0) mEq/kg 0.3-0.5 mEq/100 ml
MVI-Pediatric (See a) < 2.5 kg 2 cc/kg/day > 2.5 kg 5 cc/day
PTES Solution (see b) 0.2 cc/kg/day (up to 1 cc) > 40 kg, us ATES
Selenium (mcg) 1 - 2 mcg/kg/day

a. MVI Pediatric Solution contains per 5 ml

Vitamin
Content
Ascorbic Acid
80 mg
Vitamin A
2300 IU
Vitamin D 400 IU
Thiamine (B1) 1.2 mg
Roboflavin (B2) 1.4 mg
Pyridoxine (B6) 1 mg
Niacinamide 17 mg
Pantothenic acid 5 mg
Vitamin E 7 IU
Folic Acid 140 mcg
Vitamin B12 1 mcg
Biotin 20 mcg
Vitamin K 0.2 mg

b. Pediatric Trace Element Solution (PTES) per 0.2 ml

Zinc
300 mcg
Copper
20 mcg
Chromium
0.17 mcg
Manganese 5 mcg

Dose: 0.2 ml/kg/day up to 5.0 kg