pediatric fluid requirements based on weight in kg

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1 to 10 kg

100 mL/kg

11 to 20 kg

1000 mL + 50 mL/kg over 10 kg ex: child weighs12 kg...1000 mL + 100 mL=1100ml

over 20 kg

1500 mL + 20 mL/kg for every kg over 20mL ex: child is 23 kg...1500 mL + 60 mL= 1560ml

replacement

rule of "4-2-1" 100 ml/kg/24-hours = 4 ml/kg/hr for the *1st 10 kg* 50 ml/kg/24-hours = 2 ml/kg/hr for the *2nd 10 kg* 20 ml/kg/24-hours = 1 ml/kg/hr for the *remainder* *So, for a 30 kg child, maintenance fluid rate would be:* 40 ml/hr + 20 ml/hr + 10 ml/hr = 70 ml/hr


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