Goals of Fluid Therapy (ASAN002/2)

Question 1

What are the main Goals of fluid therapy? (2)

Answer 1

• To replace lost fluid & electrolytes.
• To maintain a normal fluid & electrolyte balance in the presence of inadequate intake & ongoing losses.

Question 2

What 5 questions should be considered when formulating a fluid therapy plan? (5)

Answer 2

• Is it indicated?
• How much fluid?
• What rate?
• What route?
• What type?

Question 3

What to consider to determine if fluid therapy is indicated? (3)

Answer 3

• Clinical indications (tacky gums etc?)
• Lab data (PCV/TP, blood/biochem tests)
• patient presentation ?

Question 4

How much fluid should be given? - What to consider.. (3)

Answer 4

• Rehydration
• Maintenance
• Ongoing losses

Question 5

What is fluid rate usually dependant on? (2)

Answer 5

• Patient presentation
• Amt of fluid that can be given to rehydrate without causing fluid overload.

Question 6

Over what time period is the fluid Deficit usually replaced? (2)

Answer 6

• Deficit may be replaced over 24hr.
• Alternatively, some will be replace rapidly then the remainder at slower rate.

Question 7

How is fluid rate calculated to ensure correct administration? (2)

Answer 7

• Daily rate calculated first
• Then hourly rate.

Question 8

By what route should fluid be given?

Answer 8

• Depends on patient status
• IV administration is best if possible
  (various routes are usually available to choose from)

Question 9

What do you need to consider to determine what type of fluid should be given? (2)

Answer 9

• Depends on type of deficit (ie electrolytes)
• Disease factors.