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Pediatrics
Holliday-Segar Method — Pediatric Maintenance Fluids
4-2-1 rule for pediatric maintenance IV fluid calculation
Adult maintenance formulas apply; pediatric formula not validated above 60 kg.
Fluid Results
Hourly Rate (4-2-1 Rule)—
Daily Rate—
Fluid Bolus Options
—
10 mL/kg bolus
—
20 mL/kg bolus
4-2-1 Rule Breakdown
—
| Weight | Hourly Rate | Daily Rate |
|---|---|---|
| 5 kg | 20 mL/hr | 480 mL/day |
| 10 kg | 40 mL/hr | 960 mL/day |
| 15 kg | 50 mL/hr | 1,200 mL/day |
| 20 kg | 60 mL/hr | 1,440 mL/day |
| 30 kg | 70 mL/hr | 1,680 mL/day |
| 40 kg | 80 mL/hr | 1,920 mL/day |
