Table 1.

Contents of Initial Fluids

	Bag 1	Bag 2
Dextrose %	D10	—
NaCl Concentration*	NS	NS
Electrolytes	Dependent upon initial serum potassium concentration: Potassium > 5.5 mEq/L: No fluids with potassium Potassium < 5.5 mEq/L and <35 kg: 20 mEq/L KCl and 13.6 mmol/L KPhos for a total of 40 mEq/K/L Potassium < 5.5 mEq/L and ≥ 35 kg: 40 mEq/L KCl and 13.6 mmol/L KPhos for a total of 60 mEq/K/L
Rate	Dependent upon POC BG: If POC BG > 300 mg/dL: 0 × mIVF If POC BG 150–300 mg/dL: 0.75 × mIVF If POC BG <150 mg/dL: 1.5 × mIVF	Dependent upon POC BG: If POC BG >300 mg/dL: 1.5 × mIVF If POC BG 150–300 mg/dL: 0.75 × mIVF If POC BG < 150 mg/dL: 0 × mIVF

BG, blood glucose; KCl, potassium chloride; KPhos, potassium phosphate; mIVF, maintenance IV fluid rate; NaCl, sodium chloride; NS, sodium chloride 0.9%; ½ NS, sodium chloride 0.45%; POC, point of care

^* Prescribers could use ½ NS in patients with hyperchloremic acidosis.