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The daily oral fluid maintenance requirement in milliliters for a patient weighing 45 lb is 1510mL.

What is oral fluid maintenance?

  • Maintenance fluid is a water and electrolyte solution which aims to replace the excessive loss of water and electrolytes through skin and through urinary system.
  • This therapy was given by Holliday and Segar.
  • Maintenance fluids consist of water, glucose, potassium and sodium.
  • This is especially given to those children who are NPO (Nothing by mouth).
  • The rate at which maintenance fluid is given depends upon the patient’s size and weight.
  • For children weighing >20kg, the daily maintenance fluid required is given by 1500 mL + 20 mL/kg for every kg over 20 (cannot exceed 2400 mL/day)
  • For a child weighing 45 lb (20.5 kg), the daily fluid requirement is 1500+ (0.5* 20) = 1510 mL.

Learn more about Oral rehydration therapy here:

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