Fluid Guidelines

Question 1

TBI

Answer 1

Aim for BP >120
NS 40ml/kg
If BP <100 after 40ml/kg, consult for more. If no consult, give a further 20ml/kg

Question 2

Anaphylaxis

Answer 2

NS up to 40ml/kg

consult for more, if no consult available, a further 20ml/kg

Question 3

Burns

Answer 3

If >15yrs with TBSA >15%
TBSA% x pt weight over 2 hours

If 12-15 yrs and TBSA >10%
3 x TBSA% x pt weight over 24 hrs, half in the first 8

Question 4

Haemorrhagic Hypovolaemia

Answer 4

If BP <70
NS 250 ml as required (max 2L)
consult for further doses, consider blood products
Also applies for ruptured AAA, GI bleeds, pregnant trauma pts.

Question 5

Inadequate perfusion (sepsis, dehydration)

Answer 5

NS 20ml/kg over 30 mins if chest clear and MICA unavailable

Question 6

DKA

Answer 6

NS 20ml/kg titrated to perfusion
Consult for more
Consider reduced volumes for elderly or impaired renal/cardiac function

Question 7

APH

Answer 7

if < adequate perfusion:
NS 40ml/kg titrated
Consult for more, if no consult available:
Further 20ml/kg

Question 8

PPH

Answer 8

If BP <90:
NS 40ml/kg titrated
Consult for more, if no consult available:
Further 20ml/kg