Fluid therapy (Shih) Flashcards
1
Q
Hypertonic saline usually saved for patients that are
A
- hypovolemic
- Shocky
- hemodynamic shock
- septic shock
- vasodilatory shock
2
Q
fluid of choice to raise blood pressure
A
Colloids
3
Q
Colloids
A
- made of starch
- inc morbidity
- inc risk of inflammation
- In sepsis can lead to
- inc risk coagulopathy: bleeding
- inc risk of renal injury
4
Q
fluids more physiologically healthy
A
crystalloids
5
Q
maintenance fluid rate dogs
A
5 ml/kg/hr
6
Q
maintenance fluid rates in cats
A
3 ml/kg/hr in cats
7
Q
To fix problems
Boluses
A
10-20 ml/kg crystalloid
2-4 ml/kg hypertonic
8
Q
shock dose of crystalloids I think…
A
9 ml/kg
9
Q
Cerebral pressure = blood pressure-intracranial pressure
A
…..?
10
Q
catastrophic bleeding
A
These are guys you do sx on in the ER
11
Q
Patient with abdominal trauma and hypovolemia
A
maintain permissive hypotension SAP 80 mmHg
12
Q
Hypernatremia
A
- Free water loss
- dehydration
- vomiting and diarrhea
- endocrine
- iatrogenic
13
Q
cat presented with severe hypernatremia
A
- 2 L glucose 5% (D5W) IV
*fixing hypernatremia too fast can cause brain edema
*mannitol
14
Q
Hyponatremia
A
- Loss of volume
- hypoadrenocorticism
- Iatrogenic
- diuretics
15
Q
Hyponatremia
complications
A
- myelinolysis
- ataxia, paralysis, CNS
- days post treatment
