⚠ High-risk tool. Fluid therapy requires clinical judgment. Verify calculations and monitor patient response. This wizard is for educational decision-support only.
Fluid Therapy Wizard
Step-by-step fluid therapy planning for dogs and cats.
Step 1: Patient Assessment
Enter patient details to calculate dehydration deficit.
Step 2: Fluid Needs Assessment
Calculate maintenance needs, ongoing losses, and total 24-hour plan.
Formula:
Dog: 132 × kg0.75 = — mL/day
Enter weight in Step 1 to calculate.
Total 24-hour fluid plan preview
Complete Step 1 and enter ongoing losses to see total.
Step 3: Fluid Selection
Review recommendations based on patient assessment. Select or override.
LRS, Plasmalyte, Normosol-R, or 0.9% NaCl — general purpose replacement and maintenance fluids.
Step 4: Rate Calculation
Replacement phase, maintenance phase, drip rates, and bolus volumes.
Fluid Rate Plan
Replacement Phase (first 4–6 hours)
Maintenance Phase (remaining 18–20 hours)
Continuous Infusion (CRI) Rates
Step 5: Monitoring Plan
Track response, watch for red flags, and know when to taper.
Monitoring Checklist
- Body weight q4–6h (same scale, same time)
- Urine output (>1–2 mL/kg/hr expected)
- CRT, mucous membrane moisture, pulse quality
- Heart rate, blood pressure, mentation
- Electrolytes (Na, K, Cl) q6–12h if severe
- PCV / TP (monitor for hemodilution)
- Blood glucose (especially in neonates)
- Auscultate for crackles / fluid overload
- Central venous pressure (CVP) if available
🚩 Red Flags — Reassess Immediately
- Weight gain > 5% above baseline (fluid overload)
- Increased respiratory rate / effort, crackles, or cyanosis
- Progressive azotemia or decreased urine output despite fluids
- Hypertension, bounding pulses, or gallop rhythm
- Electrolyte derangement worsening (e.g. iatrogenic hypokalemia)
- Signs of volume overload in cardiac/renal patients
When to Taper Fluids
- Hydration status normalized (MM moist, CRT <2 sec, skin turgor normal)
- Stable body weight for 12–24h
- Adequate spontaneous water intake
- Electrolytes within acceptable range
- Underlying cause of losses controlled (e.g. antiemetics effective)
📋 Fluid Plan Summary
Safety checks
- This tool supports calculation and education only.
- It does not diagnose, prescribe, or replace current clinical references.
- Verify patient-specific decisions with current fluid therapy guidelines, hospital protocols, and veterinarian judgment.
- Patients with cardiac disease, renal failure, or electrolyte disorders may require modified fluid plans.
- Monitor closely for signs of fluid overload, especially in cats and small patients.
Basis and limits
- Dehydration deficit: % dehydration × body weight (kg) × 10 = mL deficit. This is a clinical estimate; actual deficit varies with body composition and concurrent disease.
- Maintenance: Allometric scaling (132 × kg0.75 for dogs; 70 × kg0.75 for cats) replaces older linear formulas and aligns with current RECOVER and AAHA guidance.
- Replacement phase: 50% of deficit over 4–6 hours is a common starting point; adjust based on patient tolerance and comorbidities.
- Shock dose: 90 mL/kg/hr dogs, 45–60 mL/kg/hr cats for isotonic crystalloids. Hypertonic saline 4–7 mL/kg may be used for rapid intravascular expansion.
- Drip rate: Calculated using macrodrip 20 gtt/mL. Microdrip (60 gtt/mL) yields 3× slower drop rate for the same mL/hr.
- Scope: This tool guides planning. It does not replace physical examination, diagnostics, or specialist consultation.
Formula audit trail
1. Convert weight to kg if entered in lb (lb ÷ 2.205).
2. Dehydration deficit (mL) = % dehydration × kg × 10.
3. Maintenance (mL/day) = 132 × kg0.75 (dog) or 70 × kg0.75 (cat).
4. Ongoing losses (mL) = sum of entered vomiting, polyuria, drainage, and other losses.
5. Total 24h plan (mL) = deficit + maintenance + ongoing losses.
6. Replacement rate (mL/hr) = 50% deficit ÷ 4 hours (or 6 hours).
7. Maintenance phase volume (mL) = remaining 50% deficit + maintenance + ongoing losses.
8. Maintenance phase rate (mL/hr) = phase volume ÷ 18 hours (or 20 hours).
9. Drops/sec (macro) = (mL/hr × 20) ÷ 3600.
Calculation steps will appear here as you complete the wizard.
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Last reviewed: May 2026
Sources: Merck Veterinary Manual; RECOVER Guidelines; AAHA Fluid Therapy Guidelines