Fluid management

Question 1

What is fluid status?

Answer 1

eu/hypo/hypervolaemic

Question 2

Signs of hypovoloaemia?

Answer 2

high HR, low BP, incr RR, post hypotension, cool peripheries, reduced urine output

Question 3

Signs of hypervolaemia?

Answer 3

peripheral oedema, inspiratory crackles, raised JVP

Question 4

What are sources of fluid in hospital setting?

Answer 4

TPN, NG feed, IV meds

Question 5

Examples of crystalloids?

Answer 5

0.9% saline, dextrose, hartmann’s solution

Question 6

When are colloids prescribed?

Answer 6

liver failure patients. crystalloids most typically used in most other cases

Question 7

What are the indications for fluid prescriptions?

Answer 7

resus, maintenance, replacement, pregnancy, renal/liver failure

Question 8

Why do you want someone to fast before a surgery? (both fluid and food)

Answer 8

reduce risk of aspiration on induction of anaesthesia

Question 9

Indications for replacement fluids?

Answer 9

diarrhoea, excess urine, sweating, inflammatory losses due to burns sepsis, high stoma output