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How to calculate IV fluid therapy in children (maintenance + deficit)

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Dont Forget The Bubbles

Learn how to calculate intravenous maintenance and deficit fluid requirements in children. Hear all about the HollidaySegar formula. We'll cover: calculating 24 hourly and hourly fluid requirements; calculating the fluid deficit; choice of fluids; when to reduce from full maintenance; and adding electrolytes.

0:00 Intro
1:23 Calculating 24 hourly fluid requirements
2:02 Example of calculating the 24 hourly requirement
2:44 Calculating hourly fluid requirements
3:07 Example of calculating the hourly requirement
3:56 Calculating fluid deficit
5:53 Example of calculating fluid deficit
5:54 Top tip 1: fluid choice
6:23 Top tip 2: should you restrict the maintenance fluids?
7:07 Top tip 3: adding electrolyte

Here are some helpful references:

NICE algorithm for IV fluid therapy in children and young people in hospital: https://www.nice.org.uk/guidance/ng29...

Royal Children's Hospital Melbourne, Clinical Practice Guidelines: intravenous fluids: https://www.rch.org.au/clinicalguide/...

posted by peoplemaglq