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Estimate the daily fluid need using the weight method (Holliday-Segar method) for a patient who weighs 165 lbs.

Answer :

Final answer:

The daily fluid need of a patient weighing 165 lbs (75 kg) can be estimated to be approximately 2,600 ml according to the Holliday-Segar method. This calculation involves adding the fluid need for the first 10 kg (1000 ml), the next 10 kg (500 ml), and the remaining weight over 20 kg (55 kg x 20 ml = 1100 ml).

Explanation:

The Holliday-Segar method, also known as the "Weight Method", is used to estimate the daily fluid need of individuals and is considered highly applicable in medical scenarios. When using this method, it's important to know the weight of the person in kilograms. The patient you mentioned weighs 165 lbs, which, when converted to kilograms (1 lb = 0.453592 kg), comes out to be approximately 75 kg.

The Holliday-Segar method is applied as follows:

  1. For the first 10 kg of weight, 100 ml of water per kg is needed;
  2. For the next 10 kg (11-20 kg), 50 ml/kg is needed;
  3. For each additional kg over 20 kg, 20 ml/kg is needed.

Therefore, for a person weighing 75 kg, the daily fluid need would be calculated by adding the fluid need for the first 10 kg (1000 ml), the next 10 kg (500 ml), and the remaining weight over 20 kg (55 kg x 20 ml = 1100 ml). This means that the daily fluid need for this individual is approximately 2,600 ml.

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