💧 Fluids: Resuscitation & Rate Reference
Resuscitation fluid volumes, maintenance-fluid pointers, fluid choice and rate-safety points. Browser-side reference (4-2-1 maintenance is a dedicated tool).
Fluids: Resuscitation & Rate Reference
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When to use
Bedside reference for resuscitation volumes and fluid selection; titrate to volume responsiveness and avoid overload.
How it works
Adult bolus 250–500 mL (or 20–30 mL/kg); sepsis 30 mL/kg over 3 h; children 10–20 mL/kg. Maintenance by Holliday-Segar 4-2-1.
Key points
- Prefer balanced crystalloids for most resuscitation.
- Avoid hydroxyethyl starch in the critically ill/sepsis.
- Titrate by passive leg raise / stroke volume variation, watch for overload.
- Peripheral potassium ≤ 10 mmol/h; correct sodium ≤ 8–10 mmol/L/24 h.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.