Maintenance Fluid Calculator
Calculate daily IV fluid requirements
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Formula
Formula
Pediatric (Holliday-Segar): 100 mL/kg (1st 10kg) + 50 mL/kg (2nd 10kg) + 20 mL/kg (>20kg). Hourly: 4-2-1 rule. Adult: 25-30 mL/kg/day.
Holliday-Segar formula estimates maintenance fluid needs based on metabolic rate. 4-2-1 rule is the hourly equivalent. Adjust for clinical condition, ongoing losses, and electrolyte needs.
How to Calculate Manually
- 1 Select pediatric or adult
- 2 Enter weight
- 3 For adults, select formula
- 4 Calculator shows daily and hourly rates
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Reference Table
| Weight | Daily (mL) | Hourly (mL/hr) | 4-2-1 Breakdown |
|---|---|---|---|
| 5 kg | 500 | 21 | 4×5=20 mL/hr |
| 10 kg | 1000 | 42 | 4×10=40 mL/hr |
| 15 kg | 1250 | 52 | 40+2×5=50 mL/hr |
| 20 kg | 1500 | 63 | 40+20=60 mL/hr |
| 30 kg | 1700 | 71 | 60+10=70 mL/hr |
| 70 kg (adult) | 1750-2100 | 73-88 | 25-30 mL/kg |
Maintenance fluid therapy provides the water and electrolytes needed to replace normal physiologic losses (urine, stool, insensible losses from skin and lungs) in patients who cannot take oral fluids. The Holliday-Segar formula, developed in 1957, remains the standard for pediatric maintenance fluid calculations...
Frequently Asked Questions
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What is the Holliday-Segar formula?
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What about adults?
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Does this include insensible losses?
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