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Algorithms for IV fluid therapy in adults Algorithm 1: Assessment Using an ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach, assess whether the patient is hypovolaemic and needs.

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maintenance fluid requirements are calculated using the 4,2,1 rule (4ml/kg/hr for the first 10kg, 2ml/kg/hr for the second 10kg, and 1ml/kg/hr after that, with a maximum of 100ml/hr maintenance). Refer to the RCH intravenous fluids CPG and RCH maintenance fluid calculator.

Maintenance Fluid Rate is calculated based on weight. 4 mL / kg / hour for the first 10kg of body mass. 2 mL / kg / hour for the second 10kg of body mass (11kg - 20kg) 1 mL / kg / hour for any kilogram of body mass above 20kg (> 20kg)

The Holliday-Segar nomogram approximates daily fluid loss, and therefore the daily fluid requirements, as follows: 100 ml/kg for the 1st 10 kg of wt. 50 ml/kg for the 2nd 10 kg of wt. 20 ml/kg for the remaining wt.

When prescribing IV fluids, remember the 5 Rs: Resuscitation, Routine maintenance, Replacement, Redistribution and Reassessment.

ATLS continues to support the use of a 3-for-1 rule (3 mL of crystalloid should be used as replacement for every 1 mL of blood loss), but also encourages frequent reassessments if large amounts of crystalloid are not providing adequate resuscitation. ATLS also dictates treatment based on the class of hypovolemic shock.

The 4 : 2 : 1 rule calculates crystalloid fluid requirements based on body weight. The first 10 kg body weight is at a rate of 4 mL/kg/h, the next 10 kg is at 2 mL/kg/h, and the remainder of the body weight is calculated at 1 mL/kg/h. The total volume is the maintenance rate per hour.

In anesthetic practice, this formula has been further simplified, with the hourly requirement referred to as the “4-2-1 rule” (4 mL/kg/hr for the first 10 kg of weight, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for each kilogram thereafter.

The 4 – 2 – 1 rule for maintenance IV fluid therapy (Normal Saline or Ringer's Lactate): 4 ml/kg/hr for the first 10kg of body mass. 2 mg/kg/hr for the next 10 kg of body mass. 1 mg/kg/hr for body mass beyond 20kg.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232