MDCalc » Pediatrics

PELD Score (Pediatric End-Stage Liver Disease) (younger than 12)

admin — Fri, 02 Jan 2009 04:24:49 +0000

PELD Score = 10* (0.480 * ln(bilirubin) + 1.857 * ln(INR) - 0.687 * ln(albumin) + 0.436 (if pt < 1 year: scores for patients listed for liver transplantation before the patient's first birthday continue to include the value assigned for age (< 1 Year) until the patient reaches the age of 24 months) + 0.667 (if pt has growth failure of <-2 Standard deviation) )

UNOS PELD Calculator

Pediatric Ins and Outs (per kg and per hour)

admin — Fri, 02 Jan 2009 04:24:02 +0000

Just, uh, divide.

Often on inpatient pediatrics services, ins are recorded as mL/kg and outs are recorded as mL/kg/hour.

Maintenance Fluids Calculations

admin — Fri, 02 Jan 2009 03:56:41 +0000

Calculated Using the "4-2-1" Rule:

For 0-10kg: 4 mL/kg/hr
For 10-20kg: + 2 mL/kg/hr
For >20kg: + 1 mL/kg/hr

Endotracheal Tube (ETT) Size for Pediatrics

admin — Fri, 02 Jan 2009 03:50:43 +0000

Predicted Size Uncuffed Tube = (Age / 4) + 4

Predicted Size Cuffed Tube = (Age / 4) + 3

Estimate Intubation Tube Size for Children.

APGAR Score

admin — Fri, 02 Jan 2009 03:35:58 +0000

Age	years old
Serum Bilirubin	mg/dL
Albumin	g/dL
INR
Does the patient have growth failure (see page 3 of linked PDF)?	Yes
PELD Score

Volume to Be Calculated	mL
Weight	kg
Over How Many Hours?	hours
Volume per Weight	mL/kg
Volume per Weight per Hour	mL/kg/hour

Weight	lbs
Maintenance Fluids	mL/hr
1.5 x Maintenance Fluids (Peds)	mL/hr
Pediatric Fluid Bolus	mL
A pediatric bolus is generally calculated as 20mL/kg.

Patient Age	years old
Predicted Uncuffed Tube	mm tube
Predicted Cuffed Tube	mm tube
16 years old or older usually is sufficient for adult sizes.

Activity/Muscle Tone	Active +2 Some Extremity Flexion +1 Limp +0
Pulse	>100 BPM +2 <100 BPM +1 Absent +0
Grimace	Sneeze/Cough +2 Grimace +1 None +0
Apperance/Color	All Pink +2 Blue Extremities, Pink Body +1 Blue/Pale +0
Respirations	Good/Crying +2 Irregular/Slow +1 Absent +0
Score	points