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Replacement fluid volume for patients with moderate volume depletion by age and weight

Replacement fluid volume for patients with moderate volume depletion by age and weight
Age Weight Replacement fluid volume
<4 months <5 kg 200 to 400 mL
4 to 12 months 5 to 8 kg 400 to 600 mL
1 to 2 years 8 to 11 kg 600 to 800 mL
2 to 4 years 11 to 16 kg 800 to 1200 mL
5 to 14 years 16 to 30 kg 1200 to 2200 mL
>14 years >30 kg 2200 to 4400 mL
Patients with moderate volume depletion are estimated to have lost 5 to 10 percent of their body weight (ie, 50 to 100 mL of fluid per kg). The total fluid deficit should be repleted within the first three to four hours of presentation.
If weight is known, 100 mL/kg of fluid can be administered. Ongoing losses, if severe, should be incorporated into replacement phase. Fluids should never be restricted. For infants <6 months receiving standard oral rehydration solutions (ORS), provide an additional 100 to 200 mL of water; this is not needed for patients receiving hypo-osmolar ORS.
Data adapted from: World Health Organization. The treatment of diarrhea: A manual for physicians and other senior health workers - 4th revision. World Health Organization, Geneva 2005. Available at: http://whqlibdoc.who.int/publications/2005/9241593180.pdf.
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