A 28-week gestation infant with a birthweight of 900 grams h…

A 28-week gestation infant with a birthweight of 900 grams has 0.5 ml/kg/hr urine output at 48 hours of age. Total fluids are 100 ml/kg/day. Further evaluation reveals the following findings: Current weight 750 gramsHR 188RR 72Mean arterial blood pressure 22 mmHgNo abdominal massBladder non-palpableLaboratory Values: Na 151 mEq/L, K 5.8 mEq/L, BUN 30 mg/dl, Creatinine 0.8 mg/dl, elevated serum osmolarity and urine osmolarity You suspect the low urine output is secondary to:

You are writing TPN for a 4 day old infant with a birthweigh…

You are writing TPN for a 4 day old infant with a birthweight of 1.4 kg, now 10% below birthweight. This morning, the sodium is down to 132 and the blood glucose is trending 62-69 mg% in the last 24 hours. The infant is receiving 2 mEq/kg/day sodium in the TPN D11W at 7.5 ml/hr via PICC line. The UAC infusing 1/2 normal saline at 1 ml/hr is being removed today. The EBM feeds will be increased to 20 ml/kg/day today. How much sodium will you provide in the TPN? What adjustment will you make in the GIR?