Fluids Flashcards
Glucose in 5% dextrose
50g, 200kcal
5% dextrose composition
hypotonic 278
7% stays IV
d isomer glucose
NaCl0.9%
osmolality 300
Na 154 Cl 154
9g sodium
250ml stays intravasc
causes dec bicarb and hyperchloraemic acidosis
Hartmanns
Osmolality 276
Na 131
Cl 112
K5
Ca 2
Lactate 29
Plasmalyte
Osmolality 294
Na140
Cl 98
K5
Mg 1.5
Acetate 27
Gluconate 23
Fluid req burns
4mlxkgxbsa%
For burns over 15%
Or over 10 if snoke inhilation
TPN electrolyte derangements
Hyperchloraemic metabolic acidosis
Low phosphate, k, mg, ca
Daily electrolyte and glucose requirements
Na k cl 1 mmol/kg/day
Water 25ml/kg
Glucose 50g
Mg OD
Flushing, sweating
Hypotension, depressed reflexes, hypothermia, flaccid paralysis
Vitamin k rapid infusion
Dyspnoea, chest and back pain, death