Advanced Fluid Management Flashcards
Lance Carter, CAA
Hydrostatic Pressure

Oncotic Pressure

Edema In Pregnancy

Edema In Liver Failure


Hydrostatic vs Oncotic Pressure

Lymphatic System


Lymphatic System

Molarity vs. Osmolarity vs. Osmolality


Molarity & Tonicity


Membrane Is Impermeable To Na+, But Permeable To H2O


Membrane Is Permeable To Na+ & Water, But
Impermeable To Sucrose

When Tonicity And Molarity Are Different


Hypertonic IV Solutions


Examples Of Hypertonic IV Solutions

Dextrose Solutions


Indications For Hypertonic IV Fluids

Potential Complications Of Hypertonic IV Fluids

Hypotonic IV Solutions


Examples Of Hypotonic IV Fluids

Indications For Hypotonic IV Fluids

Potential Complications With Hypotonic Fluids


Isotonic IV Solutions


Lactated Ringer’s Solution (LR)


Contraindications To Lactated Ringers (LR)
- Hanging with Lactated Ringers with blood?
- Liver disease/liver failure
- Brain surgery
- Diabetes?
- Renal failure?
Lactated Ringers In Renal Failure Patients


0.9% Normal Saline (N/S)

Normosol (Plasmalyte)


Indications For Plasmalyte


Contraindications For Plasmalyte?

5% Albumin

Hespan (Hextend, Hetastarch)


Circulating Blood Volume (CBV)

Total Body Water (TBW)
As a Percentage of Body Weight


Estimating Total Body Water


Total Body Water (TBW)
As a Percentage of Body Weight


Total Body Water


Lasix

Mannitol

Spironolactone

Acetazolamide (Diamox)


Nephrotic Syndrome

Classification Of Major Burn Injuries

Rule Of 9s For Total Body Surface Area (TBSA)


Physiology Of Patients After Thermal Injury
Hypovolemia and decreased cardiac output

Physiology Of Patients After Thermal Injury
The increased capillary permeability leads to a massive leak of fluid and electrolytes from the intravascular space into the interstitial space, which can lead to:

Burn Consequences


Burn Consequences
Hypermetabolic phase

Airway Management After Thermal Injury

Drug Dosing for Burn Patients

Succinylcholine for Burns

Succinylcholine for Burns

Parkland Formula for Burn Patients

Colloid Therapy For Burn Resuscitation

Sepsis

Systemic Inflammatory Response Syndrome (SIRS)

Potential Etiologies of Sepsis

Clinical Implications Of Septic Patients


Clinical Management Of Septic Patients

Anesthetic Goals In Sepsis
