Fluids

Question 1

https://www.nice.org.uk/guidance/cg174/resources/intravenous-fluid-therapy-in-adults-in-hospital-algorithm-poster-set-191627821

Answer 1

Use this to make notes/cards

Question 2

HOW DO I FIND INFO ABOUT THE CORRECT RATES???

Answer 2

?

Question 3

What kinds of things determine the rate at which you give fluid?

Answer 3

Time pressure:

• is it a large volume that needs to be given rapidly for resus?
• is it part of daily requirements and thus can be split over a longer period e.g. 1000ml/8+ hours

Are there any additions to the fluid?

• dont give K+ containing fluids too fast as risk of OD
• dont give too much glucose in certain situations as can exacerbate underlying pathology e.g. cerebral injury in a patient with already slightly elevated glucose

Question 4

What is the most appropriate clinical indicator of response to fluid during the first 6hrs?

Answer 4

Blood pressure

but also other clinical signs e.g. mucous membranes; urine output if catheterised; patient report