RCH Fluid Calculator | Pediatric IV Fluid Guide Australia

Maintenance & Replacement
Maintenance Rate (Holiday-Segar) 0 mL/hr
Deficit Replacement Rate 0 mL/hr
Fluid Bolus 20 mL/kg 0 mL
Total IV Fluid Rate 0 mL/hr
* Standard RCH Isotonic Fluid: 0.9% Sodium Chloride + 5% Glucose.
* Maintenance is capped at 2500 mL/24h (approx. 104 mL/hr).

Managing intravenous requirements for younger patients requires precision to ensure clinical safety and a smooth recovery. This process involves a careful assessment of a patient’s baseline needs, accounting for any ongoing losses or specific deficits. Medical professionals typically use a structured approach, often the 4-2-1 rule, to determine hourly rates based on an accurate weight measurement.

Key Clinical Components

  • Maintenance Assessment: Establishing the standard volume needed to support normal physiological function over 24 hours.

  • Deficit Correction: Identifying the percentage of dehydration or volume loss that must be safely replaced.

  • Electrolyte Balance: Selecting the right concentration of sodium and potassium to prevent complications.

  • Monitoring Protocols: Frequent re-evaluation of weight and output to adjust the delivery rate in real-time.