Fluid Types Flashcards
an electrolyte solution + buffer
crystalloids
types of crystalloids
isotonic
hypertonic
hypotonic
large osmotically active particles
colloids
types of colloids
synthetic
natural blood products
types of isotonic fluids
plasmalyte
normsol
lactated ringers
saline
type of hypertonic fluid
7.2% saline (NaCl solution)
types of hypotonic fluids
free water
dextrose in water
0.45%, NaCl, Normosol, Plasmalyte
movement of water with an isotonic crystalloid
from vasculature to interstitium
which isotonic crystalloid has lactate
lactated ringers
which fluid should be used for shock doses, MDO and maintenance fluids
isotonic crystalloids
which patients should not get isotonic crystalloids
acidosis patients
acidifying nature
fluid creates an osmotic gradient using the patient’s own interstitial fluid into the vascular space
hypertonic saline
cases of hypertonic saline
hypovolemic
head trauma
hypertonic saline contraindication
dehydrated patients
fluid cannot be bolused
hypotonic saline
use of hypotonic saline
MDO fluids only
large animals
hypovolemia and need rapid volume expansion with no dehydration
hypertonic saline boluses
head trauma and hypovolemia
hypertonic saline boluses
heart disease and dehydration
hypotonic for MDO
severe hyper or hyponatremia
hypertonic or hypotonic
what moves water with synthetic colloids
oncotic draw
result of synthetic colloid administration
rapid volume expansion
cons of synthetic colloids
coagulopathy
risk of AKI
which patients should not recieve synthetic colloids
rodenticide
coagulopathy patients
indication for a colloid
oncotic support / pressure
hypovolemia not improving with crystalloid boluses
anemia and hypovolemia
