Fluids Flashcards
for which conditions do you give dextrose instead of saline
hypernatraemic
or
hypoglycaemic
what fluid bolus do you give if HR high /BP low?
500ml bolus over 15 minutes > then reassess
max 2 L this way
What do you give when low UO but no obstruction?
1L over 2-4hours > reassss
Whhat do you givee for maintainance fluid
1L Nacl + 40mmol K+ over 8-12h
what is daily requirement of fluid per day (as formula)
25mL / kg / day
what are requirements of glucose per day
50-100g/day»_space; 1L of 5% dextrose is 50g of glucose»_space; enough for one day
what is potassium requirement you need to give per day
60mmol
how does K+ come in bags
it comes in bags of 20 or 40
what is the highest K+ concentration you can put in 1L saline
40 mmol/L (more than this causes irritation)
what is the max K+ concentration you can give per hour
20mmol/h (more than this will cause arrythmia)
give example of standard daily fluid regimen
8 hourly 1L saline + 40mmol K+
8 hourly 1L saline + 20mmol K+
8 hourly 1L 5% dextrose + 20mmol K+
