Using the 4-2-1 rule, what is the maintenance fluid rate for a 20 kg child?

Answer and explanation

Correct answer: C. 60 mL/hour

  1. Step 1: The first 10 kg need 40 mL/h and the next 10 kg need 20 mL/h, so 60 mL/h in total.
Answer
60 mL/hour.
Why not the others: 40 mL/h counts only the first 10 kg.

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