Editing Pediatric Nursing – RN Practice Questions (section)

==Question 9==
A child weighing 26 kg is prescribed maintenance intravenous fluids using the Holliday-Segar method. At what rate in milliliters per hour should the nurse set the pump? Record your answer to the nearest tenth.
# 54.2 mL/hr
# 62.5 mL/hr
# 67.5 mL/hr
# 108.3 mL/hr

'''Answer:''' 3. 67.5 mL/hr

''Rationale:'' Holliday-Segar: 100 mL/kg/day for the first 10 kg equals 1,000 mL; 50 mL/kg/day for the second 10 kg equals 500 mL; 20 mL/kg/day for the remaining 6 kg equals 120 mL. The total is 1,620 mL per 24 hours, or 67.5 mL/hr. Option 4 results from applying 100 mL/kg to the entire weight; the other distractors result from omitting a tier of the formula.