fluids part 2

Question 1

how much you give depends on what 5 things

Answer 1

rehydration
maintenance
ongoing fluid loss
routine Sx
shock

Question 2

to correct body water lost due to dehydration

Answer 2

rehydration

Question 3

to replace body water lost due to normal body functions

Answer 3

maintenance

Question 4

to replace body water lost through V/D

Answer 4

ongoing fluid losses

Question 5

to compensate for vasodilation and increased insensible fluid loss

Answer 5

routine surgery

Question 6

cannot measure -sweat, ventilation, mm evaporation

Answer 6

insensible loss

Question 7

can measure (urine/feces)

Answer 7

sensible loss

Question 8

to compensate for blood loss or and extreme drop in BP

Answer 8

shock

Question 9

3 factors play a key role to determine TFN

Answer 9

rehydration, maintenance, specific loss calculation

Question 10

where to perform skin turgor

Answer 10

side of neck.

Question 11

to determine the TFN…

Answer 11

the 3 roles are added together

Question 12

based on the estimated % of dehydration

Answer 12

rehydration

Question 13

dehydration is determined by

Answer 13

skin turgor
CRT
pulse rate and quality

Question 14

rehydration calculation

Answer 14

estimated % dehydration X pt. weight in kg = deficit (L)

Question 15

how many ml make up 1 liter

Answer 15

1000

Question 16

urine output per hour

Answer 16

1-2 ml/kg

Question 17

common value used for maintenance. adult vs pediatric

Answer 17

adult- 50 ml/kg/day

pediatric- 110 ml/kg/day

Question 18

add 10% to daily maintenance, if…

Answer 18

pyrexic

Question 19

fluid losses due to vomit

Answer 19

1 ml/lb per episode

Question 20

fluid losses due to PU

Answer 20

1 lb of urine= 500 ml

Question 21

fluid losses due to D+

Answer 21

estimate by sight- use towel

Question 22

TFN for 24 hours includes adding…

Answer 22

maintenance, ALL losses and deficit.

Question 23

ongoing fluid losses is an estimation, you monitor

Answer 23

quantity and frequency of episodes

Question 24

standard surgical fluid infusion rate

Answer 24

5-10 ml/kg/hr- use lowest unless told

Question 25

this is significantly higher than maintenance requirements

Answer 25

surgical fluid infusion rate

Question 26

fluid infusion rate compensates for

Answer 26

vasodilation and increased insensible fluid loss

Question 27

what is given initially for shock

Answer 27

bolus of 10-20ml/kg

Question 28

shock rate dog/cat for first hour

Answer 28

dog- 90 ml/kg | cat- 50 ml/kg

Question 29

monitoring: wide open rates, shock rates, maintenance rates

Answer 29

wide open- 5-15 min shock- 15-30 maintenance- 30-60

Question 30

how to monitor fluid therapy

Answer 30

``` pulse quality MM/CRT skin turgor urine output weight lab work ```

Question 31

fluid therapy is based on

Answer 31

condition and attitude of pt

Question 32

signs of overhydration

Answer 32

``` hypothermia increased HR anxiety nasal discharge chemosis ascites/pitting edema hyperpnea moist rales/increased lung sounds weight increase ```

Question 33

what helps ensure proper administration

Answer 33

use of infusion pump

Question 34

what can be attached to the initial bag then filled a desired amount of fluids

Answer 34

buretols

Question 35

buretols are very useful on

Answer 35

small patients