Maintenance fluid

Apparently they substracted the initial bolus “shock therapy” volume from the maintenance. 

If we go to the header of the table, then for a patient weights 4 kg:

If the bolus is 20ml/kg= 80ml

and the total maintenance is 400ml

Then the maintenance in that table should be 320ml not 325ml

And for the next column “maintenance + 5% of weight”

Then it will be either

320+5%(16)=336 ml

14ml/h

Or

400+5%(20)=420 ml

17.5ml/hr

So I assume they mean 50% not 5%

and even by that table standard

325+50%(162.5)=487.5 ml Not 530

So my professional advice for you, don’t take that guide as trusted source. If you trace it down, you will find it full of mistakes like this.

…

I advice you to follow a trusted guide like the following wehen treating DKA.

Wolfsdorf J. Glaser N. Sperling MA; American Diabetes Association. Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association, Diabetes Care. 2006 May: 29(5):1150-9

Glaser N. Fritsch M, Priyambada L, et al. ISPAD clinical practice consensus guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state. Pediatr Diabetes, 2022 Nov;23(7):835-856