Table 2.
•Resuscitation Phase: 10 ml/kg over 15 min, up to 3 boluses •Optimization Phase: 5 ml/kg over 20 min •Stabilization Phase*: Replace insensible loss at 22 ml/kg/day plus replacement of urine volume and additional loss (such as vomiting). The volume of medications and nutrition account for part of the fluid administered; the remaining volume is typically administered as a crystalloid fluid. •Evacuation Phase: Decrease fluid dose by 10–20% every 12–24 h and monitor for dehydration |
Presumes any dehydration deficit was corrected during resuscitation and optimization phases. If volume overload already exists from prior fluid therapy, decrease fluid rate to allow correction of the overload over ~24 h.