Holliday Segar ~ Infus ~ Blood Loss ~ Fluid Management

NICE Guidelines: https://www.nice.org.uk/guidance/cg174

The Holliday-Segard nomogram approximates daily fluid loss, and therefore the daily fluid requirements, as follows:

• 100 ml/kg for the 1st 10 kg of wt. He
• 50 ml/kg for the 2nd 10 kg of wt.
• 20 ml/kg for the remaining wt.

Even though it is correct to think about fluid requirements on a 24-hour basis, the delivery pumps used in hospitals are designed to be programmed for an hourly infusion rate. The 24-hour number is often divided into approximate hourly rates for convenience, leading to the "4-2-1" formula.

• 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

Perhitungan Tetesan INfus

Tetesan Makro 1cc = 15 tetes

Tetesan/Minit = Jumlah cairan (cc) / Lama infus (jam) x 4

Tetesan Makro 1cc = 20 tetes

Tetesan/Minit = Jumlah cairan (cc) / Lama infus (jam) x 3

Tetesan Mikro 1 cc = 60 tetes

Tetesan/Minit = JUmlah cairan (cc) / Lamanya infus (jam)

Iv fluids TYPES OF IV FLIUDS from Mohamed Elbhnasawy

Iv fluid therapy (types, indications, doses calculation) from kholeif