Fluid Therapy

Question 1

What should hypovolemic and hypotensive animals receive

Answer 1

Shock bolus of IV fluid

Question 2

Formula for fluid replacement

Answer 2

NOT maintenance

Body weight (kg) x %dehydration = deficit (L)

Question 3

Fluid maintenance formula

Answer 3

30 x (body weight in kg) +70 = total volume in ml per day

Question 4

Isotonic fluids negative side effect

Answer 4

Chloride rich- may increase serum creatinine, incidence of AKI, and need for dialysis

Question 5

What type of fluids should you give for shock?

Answer 5

Isotonic

Question 6

What endpoints should you be checking after fluid therapy

Answer 6

Heart rate
Resp rate
MM/CRT
Urine output
Systolic BP
Lactate

Question 7

When would you give hypotonic maintenance fluids

Answer 7

Hypernatremia (free water deficit)

Question 8

When would you give hypertonic fluids

Answer 8

Hemmorhagic shock and TBI

Causes transient osmotic shift

Should be following by isotonic crystalloids

Question 9

Should you use colloids? Why?

Answer 9

No!

Incr in-hospital mortality

Increased need for renal replacement therapy

Increased risk of coagulopathies