Mr Calcu | Quickly calculate precise fluid needs to safely restore hydration and stabilize pediatric patients in critical care.

Calculate and manage pediatric fluid resuscitation effectively. Empower healthcare providers with precise tools to save children’s lives from dehydration.

Pediatric Fluid Resuscitation Calculator

Pediatric Fluid Resuscitation Calculator Guidelines

Follow these simple steps to confidently manage pediatric fluid resuscitation:

Usage Guidelines

  1. Enter the child's weight in kilograms.
  2. Select the dehydration severity based on clinical assessment:
    • Mild: 5%
    • Moderate: 7.5%
    • Severe: 10%
  3. Use the calculator result to determine initial fluid replacement volume.
  4. For signs of shock, administer 20 mL/kg isotonic fluid rapidly; reassess after each bolus.
  5. For stable patients, replace calculated deficit over 24 hours alongside maintenance fluids.
  6. Adjust for ongoing losses and monitor frequently for signs of over- or under-resuscitation.
  7. Apply clinical judgment in special populations (neonates, cardiac/renal dysfunction, DKA).

Pediatric Fluid Resuscitation Calculator Description

Pediatric Fluid Resuscitation: A Critical Care Tool

Pediatric fluid resuscitation is an essential intervention in the management of dehydration in children, particularly in emergency and critical care settings. Dehydration may stem from causes such as gastroenteritis, fever, burns, or diabetic ketoacidosis. Prompt and precise fluid replacement can significantly impact outcomes, reducing the risk of hypovolemic shock and organ dysfunction.

Calculating Fluid Deficit

The Pediatric Fluid Resuscitation Calculator determines the fluid deficit based on the child’s weight and the severity of dehydration. The commonly used clinical guideline for estimating fluid deficit is:

Fluid Deficit (mL) = Body Weight (kg) × Dehydration Severity (%) × 10

Where Dehydration Severity is estimated as:

  • Mild: 5%
  • Moderate: 7.5%
  • Severe: 10%

Example calculation:

12 kg × 0.075 × 1000 = 900 mL

This deficit should typically be replaced over 4–24 hours, depending on the clinical scenario and presence of comorbidities. An initial bolus of 20 mL/kg isotonic fluid (e.g., 0.9% saline) may be given rapidly for shock, followed by reassessment.

Advanced Considerations

  • Maintenance fluids: Calculate separately using the Holliday-Segar formula after deficit replacement.
  • Ongoing losses: Replace ongoing vomiting, diarrhea, or drains concurrently.
  • Electrolyte monitoring: Adjust fluid composition based on labs and patient response.

Act now to ensure accurate fluid resuscitation and improve pediatric patient outcomes—use this calculator with confidence and save lives.

Example Calculation

Weight (kg)Dehydration SeverityEstimated Deficit (%)Fluid Deficit (mL)
8Mild5%400
12Moderate7.5%900
20Severe10%2000
18Moderate7.5%1350
10Severe (Burn Injury)10%1000

Frequently Asked Questions

A medical intervention to restore fluids in dehydrated children.

Through clinical evaluation of symptoms such as mucous membrane dryness, sunken eyes, capillary refill time, skin turgor, and urine output.

Isotonic fluids like normal saline (0.9% NaCl) or lactated Ringer's solution are standard for initial resuscitation.

Yes. Any continued vomiting, diarrhea, or drains must be estimated and replaced in addition to calculated deficit and maintenance needs.

Children with severe malnutrition are at risk for heart failure and require slower, more cautious rehydration using lower volume and hypoosmolar solutions like ReSoMal under close monitoring.

Only partially. DKA requires tailored fluid resuscitation protocols that avoid rapid shifts in osmolality. Use this tool only for initial guidance, then follow pediatric DKA guidelines.

Vital signs, perfusion status, and urine output should be reassessed every 15–30 minutes during initial resuscitation, then hourly during ongoing therapy.

Fluid deficit represents the volume lost due to dehydration, while maintenance fluids cover daily metabolic needs and ongoing losses.

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