⚠️ FOR USE BY AUTHORISED QUALIFIED MEDICAL PERSONNEL ONLY ️⚠️

Pediatric Nephrology

Clinical Decision Support Tool
Developed by Dr Manjunath Kulkarni (Nephrologist, FMMC)

Patient Data

Renal Panel (Optional)

Analysis Results

Exact Age
--
Fluid (Holliday-Segar)
--
Rate: -- mL/hr
Body Surface Area
--
Mosteller Formula
BMI & Growth
--
Z-Score: --
eGFR (Bedside Schwartz)
--
k=0.413
BP Staging (AAP 2017)
Waiting
Needs Age & Ht%
--
FeNa (Fractional Excretion)
--
Paired indices required
Free Water Deficit
--
Only if Hypernatremic

Est. Daily Requirements (RDA)

Baseline for healthy children.
Energy-- kcal
Protein (RDA)-- g
Sodium (Na) -- mg (-- mEq)
Potassium (K) -- mg (-- mEq)
Calcium -- mg (-- mEq)
Phosphorus -- mg (-- mmol)
Iron-- mg
Vitamin D-- IU
⚠️
CKD Warning: In renal failure, restrict Phosphorus, Potassium, and Protein based on serum levels. These values are standard physiological needs.

IV Maintenance Suggestion

Calculated Rate
--
Daily Vol
--
Isotonic Maintenance
D5 Normal Saline (0.9%) + 20 mEq/L KCl
  • Sodium: 154 mEq
  • Chloride: 154 mEq
  • Potassium: 20 mEq (Additive)
  • Glucose: 50 g (5%)
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Disclaimer: Choice of hypotonic vs isotonic fluid depends on hydration status and ADH secretion risk.

Clinical Formulas & References

This application implements standard pediatric nephrology equations. All calculations are transparently documented below.

eGFR = (0.413 × Height_cm) / Serum_Cr
Ref: Schwartz GJ, et al. New equations to estimate GFR in children with CKD. J Am Soc Nephrol. 2009;20(3):629-637.
BSA = √ [ (Height_cm × Weight_kg) / 3600 ]
Ref: Mosteller RD. Simplified calculation of body-surface area. N Engl J Med. 1987;317(17):1098.
FeNa = [ (Urine_Na × Serum_Cr) / (Serum_Na × Urine_Cr) ] × 100
Ref: Espinel CH. The FeNa test. Use in the differential diagnosis of acute renal failure. JAMA. 1976;236(16):1795-7.
Deficit = 0.6 × Weight_kg × [ (Serum_Na / 140) - 1 ]
Standard physiology formula. TBW estimated at 0.6 (60%) for children. Adrogué HJ, Madias NE. Hypernatremia. NEJM 2000.
Regression Model: μ = α + β1(Age-10) + ... + β4(Height_Z)
Uses 4th Report polynomial regression coefficients for gender/age/height. Flynn JT, et al. Clinical Practice Guideline. Pediatrics. 2017.
1st 10kg: 100mL/kg | 2nd 10kg: +50mL/kg | >20kg: +20mL/kg
Ref: Holliday MA, Segar WE. The maintenance need for water in parenteral fluid therapy. Pediatrics. 1957;19(5):823-32.