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Table 3 Intravenous maintenance fluids designed to provide water and electrolyte requirements in a fasting patient.

From: Body fluids and salt metabolism - Part II

 

Holliday's recommendation

Current suggestion

Solution

5 percent dextrose in water supplemented with NaCl 3 mmol/kg body weight daily

Isotonic saline in 5 percent dextrose in water

Amount (ml/m2 body surface area* daily)

1700-1800

1400-1500

Clinical practice

100 mL/kg body weight for a child weighing less than 10 kgâ—‡ + 50 mL/kg for each additional kg up to 20 kg + 20-[25] mL/kg for each kg in excess of 20 kg

80 mL/kg body weight for a child weighing less than 10 kgâ—‡ + 40 mL/kg for each additional kg up to 20 kg + 15-[20] mL/kg for each kg in excess of 20 kg

  1. * the Mosteller's formula may be used to calculated the body surface area (in m2): height (cm) × body wight (kg) 3600 ; â—‡ in children weighing ≤5.0 kg the daily parenteral water requirement is 120 mL/kg body weight.
  2. Both the recommendation originally described by Holliday and the most recent recommendation are given. The addition of KCl 2 mmol/kg body weight is also recommended.