1. Dismiss Notice
  2. Download free Tapatalk for iPhone or Tapatalk for Android for your phone and follow the SDN forums with push notifications.
    Dismiss Notice

Fluid Guidelines

Discussion in 'Pediatrics' started by BigNavyPedsGuy, Aug 4, 2006.

  1. BigNavyPedsGuy

    BigNavyPedsGuy Junior Member
    10+ Year Member

    Apr 11, 2006
    Likes Received:
    Attending Physician
    This may sound like a stupid question, but I start my audition AI next week and it's been a year since Jr. Peds clerkship. I've tried to look it up, but can't find it: What is formula for calculating fluid requirements? I know it's something like 4ml/hr for the first 10k and 2 for the next . . . or something like that. I just know that housestaff knows it like the back of their hand

    So I came here for help.
  2. Note: SDN Members do not see this ad.

  3. UVa2005

    UVa2005 Junior Member
    5+ Year Member

    Apr 15, 2005
    Likes Received:
    Attending Physician

    You are pretty much there - 4ml/kg/hour for the first 10k, 2ml/kg/hour for the 10-20k, then 1ml for each additional kg after that..


    5kg kid = 20ml/hr
    10kg kid = 40ml/hour
    15kg kid = 40ml/hour + 10ml/hour = 50ml/hour
    25 kg kid = 40 ml/hour + 20ml/hour+ 5ml/hour = 65ml/hour

    Easy to remember that anything over 20kg = 60ml/hour plus 1ml per kg.

    This equation works in most cases - but will not work for renal kids etc. Good luck on your rotation.

    Also, I would recommend buying a copy of the Harriet Lane Handbook for your rotation - get to know it now and it will really come in handy during your intern year.

Share This Page