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Understand what makes us revisit it again? SlideShare Explore Search You. Submit Search. Successfully reported this slideshow. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime. Should Holliday Segar formula be challenged.
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No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Should Holliday Segar formula be challenged 1. Should Holliday Segar Formula be Challenged? Pediatrics ;— Formula has been religiously followed by the pediatricians around the world for more than 50 years!! Why this debate now? Arch Dis Child. Acta Paediatr. What can cause hyponatremia? Holliday Segar Formula Revisited Inference H S Formula commonly results in an overestimation of actual energy expenditure J Clin Invest An over estimate Surg Gynecol Obstet ;— Pediatr Clin North Am Paediatr Anaesthes Endogenous water production also increases in acute disease Daily water loss Inference H S Formula overestimates Water requirement in children H S Formula commonly results in an overestimation of actual energy expenditure Am J Kidney Dis Inference H S Formula overestimates Water requirement in children H S Formula commonly results in an overestimation of actual energy expenditure H S Formula under estimates sodium requirement in children In an acutely ill child, any exogenous sources of free water, such as hypotonic IV maintenance fluids, will exacerbate water retention and hyponatremia Evidence Duke et al.
Cochrane Database of Systematic Reviews , Issue 3. Yung et al: Randomized controlled trial of intravenous maintenance fluids. Kannan et al. Pediatr Nephrol. BMC Pediatr. The Cochrane Library , Issue 12 MD; Loftis, Laura L. You just clipped your first slide!
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HOLLIDAY-SEGAR METHOD OF CALCULATING MAINTENANCE FLUID.
Maintenance fluid can be defined as the amount of fluid required to compensate for ongoing fluid losses, thus maintaining steady state in the body. Holliday segar method is a widely acceptable method of calculating maintenance fluid, especially in children. It helps to estimate the fluid requirement in 24 hours. The method is based on the weight of patient in kilogram. This formula relates water loss to the caloric expenditure. That is, for every kilocalories burned, the patient utilizes ml. Example 2: A child weighing 14kg was rushed to the emergency department.
Fluid and Electrolyte Therapy
Index of Core Concept Chapters. About Core Concepts. T he commonly used method for approximating water loss and therefore the water requirement is the Holliday-Segar nomogram: This formula relates water loss to the caloric expenditure. Holliday and Segar collated information from a number of studies, including their own, and concluded the following:.
Pediatric Fluid and Electrolyte Therapy