⚠ High-risk tool. Fluid therapy requires clinical judgment. Verify calculations and monitor patient response. This wizard is for educational decision-support only.

Clinical decision support

Fluid Therapy Wizard

Step-by-step fluid therapy planning for dogs and cats.

Step 1: Patient Assessment

Enter patient details to calculate dehydration deficit.

Species
Body Condition Score
5
Hydration Status
Clinical Signs Present

Step 2: Fluid Needs Assessment

Calculate maintenance needs, ongoing losses, and total 24-hour plan.

Maintenance Fluid Needs

Formula:

Dog: 132 × kg0.75 = — mL/day

Enter weight in Step 1 to calculate.

Ongoing Losses (mL/24h)
Shock Dose Needed?

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.

Decision logic: Complete Steps 1–2 to see personalized recommendations.
Recommended Options
Recommended Isotonic Crystalloids

LRS, Plasmalyte, Normosol-R, or 0.9% NaCl — general purpose replacement and maintenance fluids.

Select Fluid Type

Step 4: Rate Calculation

Replacement phase, maintenance phase, drip rates, and bolus volumes.

Fluid Rate Plan

Replacement Phase (first 4–6 hours)
50% Deficit Volume
Rate (mL/hr over 4h)
Rate (mL/hr over 6h)
Drops/sec (macro 20gtt)
Maintenance Phase (remaining 18–20 hours)
Remaining Deficit + Maint + Losses
Rate (mL/hr over 18h)
Rate (mL/hr over 20h)
Drops/sec (macro 20gtt)
Continuous Infusion (CRI) Rates
Total 24h Volume
Average mL/hr (24h)

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.

Related tools

Last reviewed: May 2026

Sources: Merck Veterinary Manual; RECOVER Guidelines; AAHA Fluid Therapy Guidelines