IMPORTANT FORMULAS FOR CHILD HEALTH NURSING 1.

Conversion Formulas i) Conversion of Fahrenheit scale to Celsius scale 5 C = (F 32 ) x 9 ii) Conversion of Celsius scale to Fahrenheit scale 9 F = (C x ) + 32 5 2. Body Mass Index (BMI) Weight in kg BMI = Height in (meter)2 3. Estimation of childs dose calculation a. According to body surface area Childs body surface area Child dose = Adults body surface area b. Youngs formula According to age Age of child Child dose = x Adult dose Age + 12 c. Clarks Formula According to body weight Weight of children (in pound) Child dose = x Adult dose 150 d. Frieds Formula:According to age Age of the child (in months) Childs dose = x Adults dose 150 Note: This formula is used for children under one year of age x Adult dose

e. Calculating flow rate Total volume Drop/minute = x drop factor Time in minute f. Infusion time calculation Total volume to infusion Infusion time = MI per hour being infused 4. Expected date of delivery EDD = Date of LMP + 9 month + 7 days 5. Percentage of malnutrition Actual weight Malnutrition = x 100 Expected weight 6. Formula for calculation of expected weight a. For age (1month to 12 months) Age in months + 9 Weight = 2 b. For age (1-6 years) Weight = (Age in years x 2) + 8 c. For age (6-12 years) (Age in years x 7) 5 Weight = 2 7. Calculation of height a. At birth about 50 cm b. At 1 year of age = about 75 cm c. At 2-12 years of age Height = (Age in years x 6) + 77 cm. Or Height (Age in years x 7) + 66 cm.

8. Intelligence quotient calculation formula Mental age Intelligence quotient = x 100 Chronological age Or MA I.Q. = CA 9. Calculation of body surface area a. Lowes formula Body surface area (M2) = weight2 (Kg) x 0.1 b. Costeffs formula 4W + 7 Body surface area (M2) = W + 90 Where W is weight in kg 10. Fluid replacement formula Parkland formula: a. For first 24 hoursTotal amount of fluid requirement = 4ml. of ringers lactate x weight in kg x percentage of TBSA burnt One half of fluid should be given in first 8 hours, start from the time of accident Remaining half of fluid should be given in next 16 hours. b. For next 24 hours Total amount of fluid replacement = 2ml. of ringers per kg per % of burns This formula is used when the burn is 15 to 20 percent of total body surface area (TBSA) 11. Preparing the solution by using a formula In case of diluted medicines, the following formula will be helpful to find out the strength of solution. Desired strength (d) Amount of stock solution required (A) = required (Q) x Quantity X 100

Strength of what we have in stock (H)

Formulas for approximate average weight of normal infants and children Weight kilograms 1) At birth 2) 3-12 months 3) 1-6 yr 4) 7-12 yr Height velocity At birth Gain during first year Gain during second year Gain during third year Gain during 3-12 years Adolescence 3 kg age (mo) + 9 2 age (yr) x 2 + 8 age (yr) x 7-5 2 50 cms 25 cms 12.5 cms 7.5 10 cms 5.0 7.5 cms 8cm/year (girl) 10 cm/year (boy)

Formulas for approximate average height of normal infants and children Height Centimeters 1. At birth 50 cm 2. At 1 year 75 cm 3. 2-12 years age (yr) x 6 + 77 Head circumference growth velocity Till 3 months 2cm/month 3 months to 1 year 2cm/3 months 1-3 years 1cm/6 month 3-5 years 1cm/year Age independent anthropometric indices Method 1. 2. Weight in kg x 100 Height(cm)1.6 Weight in kg X 100 Height (cm)2 Raos Name of index Dugdales Normal 0.88 0.97 0.15 0.16 Severly malnourished <0.79 < 0.14

3.

Mid arm circumference cm Kanawati Head circumference (cm)

0.32-0.33