What is the holiday Segar method?
1. The Holiday-Segar method can only be applied to patients above 2 weeks of age. 2. This method does not take into consideration caloric expenditures above average, or take into account on-going fluid losses; a more rigorous method would be the caloric method .
What is the Holliday-Segar method?
The Holliday-Segar method is usually preferred due to its ease of calculation; however, the other methods are employed in some instances. The Holliday-Segar method may be simplified by estimating the fluid requirements in rate required per hour.
What is the Holliday Segar nomogram?
The 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. This means that for every 100 kcal burned, the patient utilizes 100 ml of fluid.
What is the holiday-Segar and how is it used?
The Holiday-Segar can be used to quickly estimate fluid requirements in terms of mL/hour (a useful way of expressing it, since this is how IV infusion pumps are programmed): Thus, for a 45 kg girl, the maintenance IV fluid rate would be 4*10 + 2*10 + 25*1 = 85 mL/hour.
What is the Holliday-Segar formula?
The Holliday-Segar formula is a formula to help approximate water and caloric loss (and therefore the water requirements) using a patient's body weight. Primarily aimed at pediatric patients, the Holliday-Segar formula is the most commonly used estimate of daily caloric requirements.
Can Holliday serum be used for fever?
While generalizable to most cohorts, the Holliday-Segar formula may inadequately estimate caloric requirements in patients affected by fever , hypothermia, or increased activity states (ie, hyperthyroidism or status epilepticus). The formula can also only be applied to patients above 2 weeks of age.
What is the Holliday-Segar method?
In the Holliday-Segar Method , fluid and electrolyte requirements are empirically based on the caloric needs of the average hospital patient. This caloric expenditure is approximated based on body weight using the following table:
How old do you have to be to use Holiday Segar?
1. The Holiday-Segar method can only be applied to patients above 2 weeks of age. 2. This method does not take into consideration caloric expenditures above average, or take into account on-going fluid losses; a more rigorous method would be the caloric method . Net Scut Home.
Worked Example
To estimate the daily fluid requirements of a 9-year old boy who weights 32 kg, 10*100 + 10*50 + 12*20 = 1740 kcal per day. At a 1 kcal / 1 mL conversion, the daily H 2 0 requirements would therefore be 1740 mL.
Limitations
While generalizable to most cohorts, the Holliday-Segar formula may inadequately estimate caloric requirements in patients affected by fever, hypothermia, or increased activity states (ie, hyperthyroidism or status epilepticus). The formula can also only be applied to patients above 2 weeks of age.
External links
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