IWL Adult

IWL (insensible water loss (IWL): the amount of fluid discharge unconscious and difficult to
quantify, namely the amount of sweat, breath vapor.

FORMULA IWL

IWL = (15 x Weight in kg)

24 hours

E.g: Mr.A Body Weight 60kg with body temperature 37⁰C (normal temperature)

IWL = (15 x 60 kg) = 37.5 cc / hour

24 hours

* Within 24 hours  37.5 x 24 = 900cc / 24 hours

* Formula IWL Temperature Rise

IWL = [(10% x CM) x amount of temperature rise] + normal IWL

24 hours

e.g.: Mr.A Body Weight 60kg, temperature = 39⁰C, Fluids Sign = 200cc

IWL = [(10% x200) x (39⁰C-37⁰C)] + 37,5cc

24 hours
= (20 × 2) + 37,5cc
24
= 1.7 + 37.5 = 39cc / hour
* CM: Fluids Sign
Counting one's fluid balance must be considered a variety of factors, including Weight and
Age, because the calculations between adult children with different ages. Calculate the fluid
balance which must be considered include fluid intake group and where the output of fluid.
Based on excerpts from M. Iwasa Kogoshi S (1995) Fluid Therapy do (PT. Otsuka Indonesia)
computation required per 24 hours instead of one work shift.
Based on Body Surface Area (BSA)
Calculation of Insensible Losses
Insensibles Water Loss (IWL) = 500 ml / BSA (m2)
To calculate BSA (m2):
√height (cm)x weight (kg)
BSA (m2) =
3600

Alternatively based on weight:

4 x weight (kg) + 7
BSA =
90 + weight (kg)