Fluids, Dehydration

Question 1

What is the Holliday-Seger method for calculating maintenance fluids?

Answer 1

Gives you the daily volume
100mL/kg for first 10kg
50mL/kg for next 10 kg
20mL/kg for remaining kg

For hourly, use the 4-2-1 rule

Question 2

How is fluid resuscitation calculated for burn patients? Over what time period is it given?

Answer 2

Use the Parkland formula:
Kids: 3mL/kg X %body surface burned + maintenance fludis
Adults: 4mL in above formula

Half given in first 8 hours and remainder in following 16 hours

Question 3

What is the fluid of choice in burns?

Answer 3

Lactated Ringers

Question 4

How is fluid deficit calculated?

Answer 4

Pre-illness weight minus illness weight
(1L of water weighs 1kg)
Can divide over 24 hours to get an hourly rate

Question 5

Outside of sepsis or a cardiac disorder, what is the emergency fluid bolus volume of fluids?

Answer 5

20mL/kg

Given as quickly as possible