Fluid Compartment Flashcards
What body compartment has the most fluid?
Intracellular
What body compartments have the top 3 most fluids?
Intracellular
Extracellular
Interstitial
What is the recommended daily water intake according to NICE guidelines?
25-30 ml/kg/day of water
This amount is part of the maintenance fluid requirements.
What is the recommended daily intake of potassium, sodium, and chloride according to NICE guidelines?
Approximately 1 mmol/kg/day of potassium, sodium, and chloride
This recommendation is included in the maintenance fluid guidelines.
What is the recommended daily glucose intake to limit starvation ketosis?
Approximately 50-100 g/day of glucose
This intake is crucial to prevent starvation ketosis.
For an 80kg patient, how much water is recommended for a 24-hour period?
2 litres of water
This is calculated based on the guideline of 25-30 ml/kg/day.
What is the recommended potassium intake for an 80kg patient over 24 hours?
80mmol potassium
This follows the guideline of 1 mmol/kg/day.
What fluid regimen does NICE recommend for routine maintenance on day 1?
25-30 ml/kg/day sodium chloride 0.18% in 4% glucose with 27 mmol/l potassium
There are other regimens available to achieve similar goals.
What factors influence the amount of fluid a patient requires?
Recent and past medical history
Examples include post-operative status and heart failure conditions.
What fluid may be required for a post-operative patient with significant losses?
More fluid than usual
This is to compensate for losses from drains.
What should be considered for a patient with heart failure regarding fluid intake?
Less fluid to avoid precipitating pulmonary oedema
This is important to manage fluid balance in heart failure patients.
What does 0.9% saline contain?
154 mmol of Na+ and 154 mmol of Cl-
This solution is commonly used in medical settings.
What components are found in Hartmann’s solution?
Sodium, chloride, potassium, and bicarbonate
Hartmann’s solution is often used for fluid resuscitation.
What is a risk associated with using large amounts of saline?
Hyper choleraemic metabolic acidosis
This condition can arise from excessive saline administration.
