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Paediatric Maintenance Fluid & IV Drip Rate Calculator

Holliday–Segar 4-2-1 maintenance fluids with mL/hr, mL/day and gtt/min for microdrip and macrodrip sets. Weight-based bolus guidance per WHO ETAT and IAP. Runs entirely in your browser.

Fluid & Drip Rate

Disclaimer: This calculator is an educational reference, not a substitute for clinical judgment. Holliday–Segar overestimates fluid needs in some neonates, post-operative patients, SIADH, cardiac failure, severe acute malnutrition (SAM) and meningitis — use restricted regimens (e.g. 60–70% maintenance) per AAP 2018, NICE NG29 and WHO/IAP guidance. Always prefer isotonic crystalloids (0.9% NaCl, RL, plasmalyte) for routine maintenance in children > 28 days; hypotonic fluids carry hyponatraemia risk. Confirm prescription, drug compatibility and infusion device settings independently.

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