1 Fluid intake recommendation based on kidney stage

Fluid Intake Recommendation

CKD Stage-Based Daily Fluid Guide · KDIGO 2022 & ERA-EDTA Guidelines

♥ Nephrology Pack

Select CKD stage / treatment status

G1–G2

eGFR ≥ 60

Mild / Normal

G3a

eGFR 45–59

Mild–Moderate

G3b

eGFR 30–44

Moderate–Severe

eGFR 15–29

Severe

Haemodialysis

3x / week

On HD

Peritoneal

CAPD / APD

On PD

Patient details

Body weight kg — for weight-based calculation

Daily urine output mL / 24 hours (approx.)

Climate / season

Normal

Hot / Summer

Clinical modifiers

Oedema / fluid overload present

Ankle swelling, facial puffiness, weight gain

Heart failure present

Significantly restricts fluid allowance

Uncontrolled hypertension

Fluid restriction helps BP control

History of kidney stones

Higher fluid intake is protective

⚠ This tool provides general guidance only. Fluid requirements in CKD vary significantly between individuals. Always confirm with your treating nephrologist, especially for dialysis patients where incorrect fluid intake can be life-threatening.

Please select a CKD stage and enter body weight to generate recommendations.

— mL/day

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Your daily fluid allowance vs general population (2500 mL)

0 mL 500 mL 1000 mL 1500 mL 2000 mL 2500 mL+

Recommended

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Min – Max

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Per kg body wt

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Urine output

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In practical measures — this equals approximately

Suggested daily fluid schedule

⚠ Hidden fluid content in common Indian foods — counts towards your daily limit

Stage-specific guidance

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Clinical flags

ⓘ For patient education only. Not a substitute for physician judgment. Fluid recommendations based on KDIGO 2022 Clinical Practice Guidelines, ERA-EDTA Fluid Management Guidelines, and Indian Society of Nephrology CKD Management consensus. Fluid requirements are highly individualised in CKD. This tool provides general guidance only — always confirm specific targets with the treating nephrologist. For dialysis patients, incorrect fluid intake between sessions can cause pulmonary oedema and cardiac events.