💧 Maintenance Fluid (Holliday-Segar)
UseEstimate baseline maintenance fluids; adjust for fever, ongoing losses and cardiac/renal function.
Loading calculator…
SourceHolliday MA, Segar WE. Maintenance fluid requirements. Pediatrics 1957
Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Scene next step
📋fluid nutritionOpen scene pack →Related scores
Matching pathway
🧭ped_dehydrationOpen pathway →Score + version; reference only — not a substitute for care · no HIS write
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Clinical takeaway
This is a baseline maintenance estimate only.
When to use
Estimate baseline maintenance fluids; adjust for fever, ongoing losses and cardiac/renal function.
How it works
Hourly = first 10 kg × 4 + next 10 kg × 2 + remainder × 1 mL/kg/h; daily = 100/50/20 mL/kg/day by the same bands.
Key points
- This is a baseline maintenance estimate only.
- Add for fever and ongoing fluid losses.
- Reduce with cardiac or renal impairment.
- Titrate to intake/output and the clinical picture.
References
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Maintenance Fluid (Holliday-Segar)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Maintenance Fluid (Holliday-Segar) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.