Fluid Balance Calculator

Calculate daily fluid balance including intake, output, insensible losses, and maintenance requirements for hospitalized patients.

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Important Health Disclaimer

This calculator provides general health information based on standard medical formulas and WHO guidelines. Results are for informational and educational purposes only and should not be considered as professional medical advice, diagnosis, or treatment recommendations.

For health concerns, medical conditions, fitness plans, or dietary decisions, please consult with qualified healthcare professionals, licensed physicians, registered dietitians, or certified fitness trainers who can evaluate your individual health status and medical history.

Individual health needs vary significantly. These calculations are general estimates and may not be appropriate for everyone, especially those with existing medical conditions, pregnant women, children, or elderly individuals.

Not a substitute for professional medical advice

Patient Information

Intake (24hr)

mL
mL
mL

Output (24hr)

mL
mL

Net Fluid Balance

+300 mL

Neutral Fluid Balance

⬇️Total Intake
2100 mL
⬆️Total Output
1800 mL
💨Insensible Loss
500 mL
💧Maintenance Rate
110 mL/hr

Urine Output Assessment

Normal urine output (0.71 mL/kg/hr)

Recommendation

Fluid balance within acceptable range

Daily maintenance requirement: 2640 mL/day

Fluid Management Guidelines

4-2-1 Rule (Maintenance)

  • First 10 kg: 4 mL/kg/hr
  • Next 10 kg: 2 mL/kg/hr
  • Each kg above 20: 1 mL/kg/hr

Insensible Losses

  • Skin: ~300-500 mL/day
  • Respiratory: ~300-500 mL/day
  • Fever: +12% per degree above 37°C
  • Mechanical ventilation: reduces by 50%
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sources

  • World Health Organization (WHO) — Global health metrics, disease classification, and nutritional standards. who.int
  • Centers for Disease Control and Prevention (CDC) — Health statistics, BMI guidelines, and disease prevention data. cdc.gov
  • National Institutes of Health (NIH) — Medical research, clinical guidelines, and health calculators. nih.gov
  • Mayo Clinic — Clinical health information, disease reference, and wellness guidance. mayoclinic.org

For a complete list of all references used across the site, visit our full sources page.

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Editorial Note

MyCalcBuddy Editorial Team

This page is maintained as an educational calculator reference.

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Formula Source: WHO Health Metrics Standards

by World Health Organization

🔄Last reviewed: May 2026
✓Formula checks are based on standard references and internal QA review.