Renal Paediatrics General Medicine A
Maintenance Fluid Calculator (Holliday-Segar)
Calculates maintenance fluid requirements using the Holliday-Segar method: 100 mL/kg for first 10 kg, 50 mL/kg for next 10 kg, 20 mL/kg thereafter. Also provides hourly rate (4-2-1 rule).
References
- Holliday MA, Segar WE. The maintenance need for water in parenteral fluid therapy. Pediatrics. 1957;19(5):823-832.
- NICE Clinical Guideline CG174. Intravenous fluid therapy in adults in hospital. 2013.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Potassium chloride with calcium chloride and sodium chloride · Crystalloid IV fluid
- Potassium chloride with calcium chloride sodium chloride and sodium lactate · Balanced crystalloid IV fluid
- Potassium chloride with glucose · IV fluid (potassium + dextrose)
- Potassium chloride with glucose and sodium chloride · IV fluid (mixed)
Pathways
- Hyperkalaemia Management · UK Kidney Association Guidelines 2020; NICE CKD Guidelines
- Acute Kidney Injury (AKI) · KDIGO 2012 / NICE AKI 2019
- CKD Management · NICE CKD 2021 / KDIGO 2024
- Nephrotic Syndrome · KDIGO 2021
- RRT Initiation · KDIGO 2012 / NICE
- Febrile Child Assessment (Traffic Light) · NICE CG160 2013
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.