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Flashcards in What Fluid To Give? Deck (11)
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1

In fluid resus, what do we give first?

0.9% NaCl or Hartmann's 500ml over 15mins

2

After the first fluid resus what do we do?

Reassess, repeat with 250-500ml if necessary

3

Post fluid resus, once patient is stable, what must we consider?

Need for water and electrolytes

4

Routine maintenance values in patients with normal renal function

Water: 25-30ml/kg/day
Sodium: 1mmol/kg/day
Potassium: 1mmol/kg/day

Subtract other sources of fluid

5

What do we also give to patients with no calorific intake per day that are not at risk of refeeding syndrome?

50-100g/day

6

When might you get electrolyte rich losses?

Drains, stomas, diarrhoea and vomiting

7

What to replace when you have lost Gastric fluid?

0.9% NaCl
Potassium

8

What to give when you lose fluid distal to stomach?

Hartmann's and potassium

9

What to do with polyuria?

Seek specialist advice

10

What results in free water loss and what do we give for this?

Fever and tachypnea
500ml/day of 5% glucose to help draw water into cells

11

What type of fluid do we use in a simple acute fluid deficit?

Isotonic fluid