Fluid management calculations

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Revision as of 20:58, 20 March 2022 by Chris Rishel (talk | contribs) (Created page with "<calculatormodule id="fluidManagement" /> <calculatordescription>The '''fluid management calculator''' calculates based upon patient demographic information provided in the fields above. Some calculations require additional patient data, for which fields are provided within the calculation. As with all clinical decision support tools, ultimately use clinical judgement when considering these results. * Some calculations may have important additional information which can...")
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The fluid management calculator calculates based upon patient demographic information provided in the fields above. Some calculations require additional patient data, for which fields are provided within the calculation. As with all clinical decision support tools, ultimately use clinical judgement when considering these results.
  • Some calculations may have important additional information which can be shown using the question mark icon
Contributing to this calculator

Use the discussion page to leave feedback about the calculator. To contribute more substantially, see the calculators guide to learn about the process to get developer access.

The fluid management calculator is powered by the patients, weightCalculations, and fluidManagement modules.

Fluid management

Estimated blood volume
Weight, Age required

  • Preterm: 95 mL/kg
  • 0-1 month old: 85 mL/kg
  • 1 month-1 year old: 80 mL/kg
  • ≥ 1 year old
    • Female: 65 mL/kg
    • Male: 75 mL/kg

  1. Morgan & Mikhail's Clinical Anesthesiology. 5e. p1168
Fluid maintenance rate
Weight required

Uses 4-2-1 rule:

  • 4 mL/kg for the first 10 kg
  • 2 mL/kg for the next 10 kg
  • 1 mL/kg for the remaining weight

  1. Miller's Anesthesia 7e, section IV, pg. 1728
Intraoperative fluid dosing
hr
Weight required
  1. Corcoran T, Rhodes JE, Clarke S, Myles PS, Ho KM. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012 Mar;114(3):640-51. doi: 10.1213/ANE.0b013e318240d6eb. Epub 2012 Jan 16. PMID: 22253274.
Maximum allowable blood loss
Weight, Age required
  1. Morgan & Mikhail's Clinical Anesthesiology. 5e. p1168
Minimum urine output
Weight, Age required
  1. Klahr S, Miller SB. Acute oliguria. N Engl J Med. 1998 Mar 5;338(10):671-5. doi: 10.1056/NEJM199803053381007. PMID: 9486997.
  2. Arant BS Jr. Postnatal development of renal function during the first year of life. Pediatr Nephrol. 1987 Jul;1(3):308-13. doi: 10.1007/BF00849229. PMID: 3153294.