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  1. 26 lis 2023 · 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.

  2. 22 paź 2023 · For instance, a 3-month-old infant's fluid requirements significantly differ from those of a fully grown child aged 8 or older. In many cases, a simple calculation called the 4-2-1 rule can determine the hourly rate of fluid maintenance required for a child based on their body weight.

  3. 5 lip 2023 · Recommendations. Maintenance IV fluids are appropriate for euvolemic patients who cannot take adequate enteral fluids. Calculate hourly maintenance fluid rates using standard weight-based formula (4-2-1 rule)

  4. Perioperative Fluid Management: 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.

  5. A meticulous fluid management is required in paediatric patients because of an extremely limited margin for error. Go to: CRYSTALLOIDS: THE “4/2/1RULE. Holliday and Segar in 1957 first presented a practical method to prescribe IV fluids based on the estimated metabolic requirements for patients at bed rest. [4]

  6. 2 wrz 2021 · Fluid deficit in children may vary preoperatively from no deficit to severe deficit based on the etiology for which the child is coming into theatre. Fluid Management can be broadly covered in three main parts: (1) resuscitation fluid, (2) maintenance fluid and (3) replacement for the losses.

  7. As stated earlier, calculations are done according to the “4-2-1rule. This rate can be used solely for parental fluid administration or as a goal for the total hourly fluid intake (also taking into account continuous infusions and/or high-volume medications).

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