Fluid and Blood Flashcards
TBW deficit
(0.6xWeight in kg) X({serum Na-140}/140)
Plasma Osmolarity
(2Na+K)+(glucose/18)+(BUN/2.8)
MIV <10kg
4mlxkg
MIV for 10-20kg
40ml +[ (weight-10)x2]
MIV for >20kg
60ml +[(weight-20)x1]
Easy MIV >20kg
weight+40
Insensible loss for weight in minimal surgeries
weightx2
Insensible loss for weight in moderate surgeries
weightx4
Insensible loss for weight in severe surgeries
weightx8
NPO deficit
MIV x hours NPO
Estimated Blood volume for preemies
100ml/kg
estimated blood volume for neonates
90ml/kg
estimated blood volume for infants
80ml/kg
estimated blood volume for adults
70ml/kg
Allowable blood loss
EBVx [(starting hct-target hct)/starting hct]
Fluid replacement for 1st hour
MIV+ 1/2NPO deficit + 3rd space fluid loss
Fluid replacement for 2nd and 3rd hour
MIV+1/4 NPO deficit+3rd space fluid loss
Fluid replacement for 4th hour and beyond
MIV+3rd space fluid loss
volume of blood in sponge
10ml
volume of blood in lap pad
100ml
Hct should be how many times more than hemoglobin?
3x
blood:crystalloid replacement
1:3
blood:colloid replacement
1:1