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Pediatric maintenance fluid rate

NCLEX-RN glossary · Health Promotion And Maintenance

Definition

A weight-based liquid dose derivation that calculates 24-hour requirements: 100 mL/kg for the first 10 kg, 50 mL/kg for the next 10 kg, and 20 mL/kg for every kg remaining over 20 kg.

Pediatric maintenance fluid rate in plain English

Failure to maintain this metabolic boundary risks either profound dehydration or iatrogenic fluid overload and secondary heart failure in a vulnerable pediatric population. The tempting mistake is applying adult fluid standard logic to pediatric clients or failing to step the calculation across all three weight tiers accurately.

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