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Fluid Calculation (Adults)

Calculation Method
Original Weight
kg
Current Weight
kg
Fluid Volume:
ml

Calculation Formula

1. Estimate Based on Dehydration Level

Mild dehydration is equivalent to 2-3% of body weight; moderate dehydration is equivalent to 4-6% of body weight, i.e., 2400ml~3600ml; severe dehydration is equivalent to 7-14% of body weight, and more severe cases can reach over 15%.

2. Estimate Based on Weight Loss

Fluid Volume (ml) = [Original Weight (kg) - Current Weight (kg)] × (30~40ml/kg)

3. Estimate Based on Hematocrit, suitable for estimating hypotonic dehydration

Male: Fluid Volume (ml) = [(Actual Hematocrit - 0.48)/0.48] × Weight (kg) × 200

Female: Fluid Volume (ml) = [(Actual Hematocrit - 0.42)/0.42] × Weight (kg) × 200

4. Estimate Based on Sodium Concentration, suitable for hypertonic dehydration

Male: Fluid Volume (ml) = 4 × Current Weight (kg) × [Measured Serum Sodium (mmol/L) - 142]

Female: Fluid Volume (ml) = 3 × Current Weight (kg) × [Measured Serum Sodium (mmol/L) - 142]

Notes

Clinically, it should be noted that relying solely on any formula to determine sodium supplementation is not advisable. The formula is only an estimate of the safe dose of sodium supplementation. During fluid therapy, be cautious of excessive blood volume, which can be very dangerous for those with heart failure.

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