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Flashcards in Basics Deck (10):
1

What are the 3 volume statuses of patients?

Hypovolaemic, Euvolaemic, Hypervolaemic

2

How do we test fluid status?

Quick look - patient looks - well, unwell, sick, critical
Rapid fluid status - Skin, Mental Status, Urine
Vital signs
Physical examination
Chart - Fluid balance, weight

3

What are the signs of adequate vs decreased perfusion in skin, mental status, urine?

Skin: Warm/pink vs cool, mottled, clammy
Mental status: Alert/orientated vs confused/agitated/delirius
Urine: >0.5ml/kg/h vs <0.5mL/kg/h

4

What are the important vital signs in volume depleted patients

Heart rate, BP, RR

5

What do we look for in BP in volume patients?

Changes in postural BP, >15 of SBP signifies postural hypotension

6

What are the main examinations we look for?

HEENT: Oral mucous membranes, saliva
Resp: Crackles
CVS: JVP, S3 gallop
GIT: Pulsatile liver, volume overload
Skin: Skin turgor

7

What is the goal of fluid replacement therapy?

Replenish intravascular space to maintain preload (cardiac) ensures adquate end-organ perfusion and oxygenation

8

What are the principles of selecting types of fluids?

Isotonic - minimize fluid shifts
Cause, Aims, Rate/volume, Personal preferences

9

What are the main plasma solutes?

Glucose, Sodium, ALbumin

10

What are the differences between plasma solutes?

Glucose: widely both in intra/extra
Sodium: extrac
Albumin: Intravascular