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IV Therapy

Maintenance fluids, deficit replacement, and fluid resuscitation calculators.

Clinical Overview

Fluid management is fundamental to inpatient care. These tools help calculate daily maintenance requirements, correct fluid deficits, and guide resuscitation strategies.

Common Use Cases

  • Calculating daily maintenance fluids (4-2-1 rule)
  • Estimating fluid deficit in dehydration
  • Burn resuscitation (Parkland formula)

Clinical Pearls

The 4-2-1 Rule

4 mL/kg/hr for the first 10 kg, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for every kg above 20 kg. For adults >20kg, a shortcut is Weight (kg) + 40 = Hourly Rate (mL/hr).