When setting an initial volume goal for an incentive spirometer for a child after abdominal surgery, what should it be based on?

The initial volume goal for an incentive spirometer for a child after abdominal surgery should be set based on their estimated lung capacity and body size. In pediatric practice, the typical volume value for incentive spirometry is often derived from the expected values for children of similar ages and sizes.

Setting the goal at 700 mL aligns with common practice for children, particularly considering their lung size and capacity post-surgery. This volume is generally achievable for pediatric patients and encourages effective use of the device without overwhelming them. The focus is on motivating the child to reach their goal and promote good respiratory function without causing undue fatigue or discomfort.

Higher volume goals such as 1200 mL or more may exceed the child's capacity and can be discouraging, possibly leading to noncompliance. The aim is to set achievable targets that foster progress rather than setting unrealistic expectations.