Fluid Therapy Flashcards
what are the 3 components of a fluid plan
- volume
- route and rate
- fluid type
isotonic crystalloids
osmolality is similar/equal to the patient’s plasma
- LRS
- plasmalyte
- 0.9% NaCl
- D5W
how should K+ supplementation be used
when fluids are running at 1-3x maintenance rate ONLY
should never be used in a rapid rehydration plan (over 4-6 hours)
- want to add at a slow rate
dehydration
loss of both water AND salt - not pure water loss
how is dehydration evaluated
history, PE, lab data
PE parameters for dehydration
- skin turgor
- MM moisture
- eye position
- body weight
skin turgor
skin elasticity
decreases with dehydration
- normal: returns immediately
- 5% deficit: slow to return
- 12% deficit: remains standing
affected by BCS and age
evaluating MM moisture
gums: tacky
tear film: decreased
evaluating eye position
sunken eyes
late stage dehydration - indicates moderate to severe dehydration
lab data indicating dehydration
- USG > 1.030
- urine output < 1 mL/kg/hr
- PCV/TP: elevated
+/- hypernatremia
what are the categories of dehydration
mild: 5-7%
moderate: 8-10%
severe: 10-12%
equation for calculating fluid deficit
L of deficit = % dehydration x kg BW
route for replacing fluid deficit
SQ or IV
how to calculate rehydration rate for fluid deficit
volume deficit / 4 to 6 hours
larger deficits require faster rehydration
slower rates for cardiac disease or geriatric cats
maintenance rate
accounts for urine production and insensible (respiratory) losses
what is the standard maintenance rate for all mammals
2-4 mL/kg/hr