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4kg pt need 400 ml / day  according to holiday segar method

Why according to picu protocol EHA ot take 325 ml/day 

Hossam Elgnainy Selected answer as best April 11, 2025
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Update:

Please be advised that after a second review, we found that the table is generally correct in the sense of final rate. Despite that, the table numbers are generally inconsistent. The following table may be more accurate in sense of numbers.

Hossam Elgnainy Posted new comment April 11, 2025
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Ref. Of table please dr. Hossam

This table is made by our team on Excel using the usual formula of holliday segar method
100ml/kg for first 10kg of patient wt
1000ml + 50ml/kg for wt above 10kg
1500ml + 20ml/kg for wt above 20kg
and the deficit formula
1% dehydration = 10 mL/kg of fluid deficit
and following the same criteria of ISPAD 2018 that assumed the deficit will be calculated on 5% disregarding the severity of dehydration in the table.

The original table in the question is mentioned in the ISPAD 2018 and removed from ISPAD 2022

We still recommend against using the table, even after that correction. We just made that table to prove the idea that the original table was not accurate.

We recommend to follow the recent guidelines of ISPAD 2022

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