Glucose infusion rate. How to calculate the GIR, with examples. Dr Sridhar K

The glucose infusion rate or GIR is the rate of infusion of glucose in the neonate, usually at 4-6 mg/kg/minute. It depends on the strength of dextrose solution (%) and the rate of infusion (ml/kg/day)-in this short video, I explain how to calculate the GIR and its importance including examples on how to calculate, and some practical tips on how to calculate GIR on babies on mixed IV and feeds, as well as on how to increase GIR of the fluid with 25 % dextrose and how to prepare the infusion of certain concentration. Please share.
#GIR #glucoseinfusionrate #hypoglycemia

[@ayaqassem4411]

I am really grateful to you! I was struggling to understand before this video
My best regards

[@SridharKs]

Best wishes

[@marymorrison1469]

This is a wonderful video, very informative! for formula 1, I am wondering how we got "multiply be 6" in the denominator? Where does the 6 come from?

[@SridharKs]

It’s because we assume weight of 1 kg, if I remember right. Thank you!

[@lilathabet6755]

Thanks a lot sir
At my unite we use formula to calculate GIR
Sugar desired × weight ×time/ 1000
Is it wrong?

[@SridharKs]

Can you give an example with values please

[@mama223]

Nice one thank you. One question i have is, why don't we multiply the weight by six in the denominator (we only divide it by six) when calculating GIR in the mixed iv fluid and EBM administration? Thank you.

[@SridharKs]

Do you mean in the example in the video or in general?

[@mama223]

@@SridharKs in the example in the video. Thank you sir.

[@SridharKs]

@@mama223 because we assume weight of 1 kg, if I remember right

[@mama223]

@@SridharKs okay sir. It was such a wonderful presentation. Very practical and helpful. Thank you sir.

[@SridharKs]

@@mama223 thank you

[@sudeepawadhiya2373]

Respected sir
How to calculate gir when mixture of dextrose 25 % and dextrose 10 % is given to the neonates

[@SridharKs]

Hi, it depends on how much of each is used, for example, if you have 10 ml of 25% dextrose (2500 mg dextrose) and 90 ml of 10% dextrose, which is 9000 mg, the total of 11500 mg is there in 100 ml of the solution, so the percent of glucose (g per 100 ml) is 11.5%-just substitute this in any of the formulae discussed in video above to calculate GIR

[@mulkimire4809]

Dr Sridhar please can you explain how calculate fluid and electrolyte in neonatal

[@SridharKs]

Please review this, I discuss feed progression as well NICU bedside teaching-approach to fluid management in babies. Dr Sridhar Kalyanasundaram
ua-cam.com/video/d7yq4e5kgIE/v-deo.html, there is one on sodium balance as well.

[@sudeepawadhiya2373]

Please explain with example 2 kg baby given fluid at the rate of 2 ml/hr
D10% 50 ml + d25 % 500 ml in a day

[@redflower6513]

What about 10% and 25% glucose?
Use this same equation 5x-25=y ???

[@SridharKs]

It’s similar approach but the factors may change, need to calculate and check

[@babariqbal413]

Nice very informative thank you
I hate simple mathematics

[@SridharKs]

Thank you

[@ravibhai5086]

Good sir

[@SridharKs]

Thank you