4 2 1 Rule Calculating Pediatric Maintenance Fluids 4 2 For more videos, check out our website at: videos.undergroundmed. Hourly fluid requirement = (4 ml kg hour × 10 kg) (2 ml kg hour × 5 kg) = 40 ml hour 10 ml hour = 50 ml hour check. the 4 2 1 rule is a convenient and easy to remember method for estimating maintenance fluid rates in pediatric patients. however, it is important to note that this rule is a simplified approach and may not account for.
Iv Fluids And Blood In Resuscitation One of the primary objectives of maintenance parenteral fluid therapy is to provide water to meet physiologic losses (insensible loss urine loss). in a study published in 1957, in the journal pediatrics, malcolm holliday and william segar developed a simple scheme which could be easily remembered to calculate the maintenance water needs in hospitalized patients. Check us out on facebook for review questions and updates! ( facebook medschoolmadeeasy) thanks for stopping by, and we love hearing from you!. The maintenance fluids calculator calculates maintenance fluid requirements by weight. Holliday segar “4 2 1” rule: • first 1 10 kg = 4 ml kg hr • next 11 20 kg = 2 ml kg hr • next > 20 kg = 1 ml kg hr • add together for maintenance rate • bsa method: • bsa (m 2) × 1600 ml m day = daily requirement maximum rate: 100 ml hr is an appropriate maximum rate in most patients iv fluid therapy: maintenance (euvolemic.
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