Fluid Therapy Flashcards

1
Q

Fluid Types

A
  • Crystalloids
  • Colloids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Crystalloid Fluids

A

Water and Electrolytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Colloid Fluids

A

Electrolytes and Large-weight Molecule
* used for resuscitiation for long-term
* Plasma / Hetastarch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Types of Crystalloids

A
  1. Hypotonic
  2. Hypertonic
  3. Isotonic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hypotonic Crystalloids

A

More water than electrolytes
* Dextrose
* Half strength Saline
* NOT used for resuscitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hypertonic Crystalloids

A

More electrolytes than water
* 7% saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hypertonic Crystalloid Uses

A

Pull water from other areas
* used for head tauma
* splenic rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Isotonic Crystalloid

A
  • Can be given SQ, IO, IV
  • Normosol, LRS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fluid Delivery Methods

A
  1. SQ
  2. IO
  3. IV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Fluid Delivery Method

SQ

A
  • Easy, owner can do at home
  • Only can use with specific patients - mild dehydration
  • Easily infected
  • Only use with isotonic fluids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Fluid Delivery Method

IO

A
  • Use for patients unable to get IV - hypovolemic or neonatal
  • Painful to put in
  • Not for long-term
  • Can get infected or cause nerve damage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fluid Delivery Method

IV

A
  • Use for long-term
  • Large and rapid volumes
  • Aseptic technique needed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Fluid Phases

A
  1. Resuscitation
  2. Replacement
  3. Maintenance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Resuscitation Phase

A
  • Use for patients in shock
  • Give amount over set time then reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Maintenance Phase

A

Use once dehydration and ongoing losses corrected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fluid Therapy

Monitoring

A
  • HR, CRT/MM, BP
  • PCV / TP
  • Body Weight (if no food intake) - 1 kg change = 1 L body water change
17
Q

Fluid Therapy

Complications

A

Volume Overload - body unable to handle fluid amount
* fluid goes elsewhere
* pleural effusion / pulmonary edema
* chemosis

18
Q

Chemosis

A

Swelling on conjunctiva

19
Q

Dehydration

A
  • Less than 5% - hard to tell clinically
  • Over 10% - look like in shock
20
Q

Dehydration Calculation

A

BW (kg) x % dehydration
* liters that need to be replaced

21
Q

Maintenance Fluid Calculation

A

Use 50 mL/kg/day or 1mL/lb/hr
* get to mL/hr
* add to dehydration rate

22
Q

Ongoing Loss Calculations

A
  • 1 g = 1 mL
  • Calculate mL/hr and add to maintenance for new rate