Fluid administration in neonatal intensive care units (NICUs) is a critical aspect of patient management. The rate of fluid provision is often expressed as milliliters per kilogram per day (ml/kg/day). This metric reflects the volume of fluid a neonate receives in a 24-hour period, normalized to the infant’s body weight. For instance, an infant weighing 1 kg receiving 100 ml of fluid over 24 hours would be receiving 100 ml/kg/day. This method allows healthcare providers to tailor fluid therapy to each infant’s specific needs, accounting for variations in size and gestational age.
Accurate determination of fluid requirements is paramount in neonates due to their immature renal function and high susceptibility to fluid imbalances. Providing the appropriate fluid volume supports optimal hydration, electrolyte balance, and overall metabolic function. Historically, standardized fluid regimens were implemented, but individualized approaches are now favored to address the unique physiological challenges of each neonate. Proper fluid management can mitigate the risk of complications such as dehydration, electrolyte disturbances, and pulmonary edema, ultimately contributing to improved patient outcomes.
