How Much Fluid? (ASAN002/4) Flashcards

1
Q

To determine how much fluid is required, we need to calcuate how much fluid is needed to: (3)

A
  • Replace (rehydrate) fluid loss
  • Maintain normal hydration
  • Predict any ongoing losses
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2
Q

What do we need to calculate to determine how much fluids we need for Rehydration? (2)

A

Calculate the amount of missing fluids or Fluid Loss.

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3
Q

How do we calculate fluid loss (L)? (1)

A

Weight kg x % dehydration = L fluid loss

eg: 10kg patient with 5% dehydration
10 x 5/100 = 0.5L = 500mls

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4
Q

What is the quick formula to give Fluid Loss in ml? (1)

A

% dehydration x weight kg x 10 = mls

eg: 10kg patient with 5% dehydration
5 x 10 x 10 = 500mls

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5
Q

What do we need to calculate to determine how much fluids we need for Maintenance? (2)

A

Insensible fluid losses (GIT, Resp, Skin)
+
Sensible fluid losses (urine, faeces)

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6
Q

What are Insensible Losses? (3)

A

Fluids lost through:
* Gastrointestinal Tract
* Respiratory Tract
* Skin / Sweating

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7
Q

What is the calculation for Insensible losses? (1)

A

20mls/kg/day

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8
Q

What are Sensible Losses?

A

Fluids lost through:
* Urine
* Faeces

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9
Q

What is the calcuation for Sensible losses? (2)

A

1–2ml/kg/hour = 24–48mls/kg/day

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10
Q

What is the calculation to estimate Combined Maintenance Volume? (1)

A

40 – 60ml/kg/day

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11
Q

Why do large dogs typically have lower maintenance volume requirements than small dogs? (1)

A

Due to lower surface area : body mass ratio

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12
Q

What does Ongoing Fluid Losses refer to? (1)

A

Fluid loss > maintenance req of normal patient

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13
Q

What are some examples of Ongoing Fluid Losses? (4)

A
  • Vomiting
  • Diarrhoea
  • Bleeding
  • Wound exudate
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14
Q

How do we calculate Ongoing Fluid Losses? (1)

A

Need to estimate as difficult to predict & calculate exact amt.

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15
Q

How do we Calculate Fluid Requirements? (4)

A

Fluid Requirement

fluid deficit
+ maintenance requirements
+ ongoing losses

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16
Q

What fluid rates do Fluid pumps use? (1)

A

hourly fluid rates

17
Q

What fluid rates do Gravity fed adminstration systems use? (1)

A

Rates calculated at drops per second.

18
Q

What is the drop rate for most common admin sets? (1)

A

20 drops/ml

19
Q

Example 1:
10kg dog, 8% dehydrated. Has diarrhoea & estimated further loss of 140mls over 24hrs
(Image)

A
20
Q

Example 2:
20kg dog, 10% dehydrated. Has V & D, and estimated further loss of 360mls over 24hrs
(Image)

A
21
Q

What are the two types of Fluid Delivery Systems? (2)

A
  • Gravity fed systems
  • Mechanical delivery systems (pumps)
22
Q

How do Gravity Fed Systems work? (1)

A

Rely on gravity to create flow of fluids.

23
Q

How do you calculate & adjust fluid rates on Gravity Fed Systems?

A
  • Roller pinches line to regulate flow.
  • Drip chamber to calculate flow/drip rate (must know drops/ml of admin set)
24
Q

What are the different drop/ml admin sets most commonly available? (4)

A

Available in 10, 15, 20 or 60 drop/ml

25
Q

What are the limitations of Gravity Fed Systems? (3)

A
  • Infusion pressure dependent on how high fluids are above the patient.
  • Flow limited by ambulatory patient & catheter placement
  • Patient limb must be fully extended when changing flow rate.
26
Q

What is a Burette or Buretrol? (1)

A

A measuring chamber that can added to gravity fed systems.

27
Q

What are the benefit of using a Burette or Buretrol? (3)

A
  • Accurate delivery of small volumes (holds 100 – 150mls)
  • Reduces risk of fluid overload in small patients
28
Q

How do Mechanical Delivery Systems work?

A

They use a mechanical pumping system to deliver fluids

29
Q

What are the two main types of Mechanical Delivery systems? (2)

A
  • Syringe pumps
  • Fluid infusion pumps (NIKI pump)
30
Q

What are syringe pumps best used for? (2)

A
  • Administering IV medications at a constant rate.
  • Administering fluids to small patients.
31
Q

How do Syringe Pumps work? (3)

A
  • A syringe is filled with appropriate fluid or medication.
  • Syringe is placed in the pump.
  • The plunger is automatically pushed at a constant rate.
32
Q

How do Fluid Infusion Pumps (NIKI pumps) work? (1)

A

They use peristaltic action (intermittent squeezing of IV tubing) to pump fluid into the patient.

33
Q

What is a possible complication of Fluid Infusion Pumps? (2)

A
  • They can infuse fluids at a high pressure
  • Therefore, may pump fluid into perivascular tissues
34
Q

What information should be included when Labeling Fluid Bags?

A
  • Date & time of when bag was hung.
  • Initials of who hung the bag.
  • Concentration of additives in the bag.
35
Q

Why is placing Labels on fluid bags important? (4)

A

Shows all staff:
* The contents of the bag
* When the bag was hung
* Staff member that hung the bag

36
Q

What is an additional way to label gravity fed fluid bags? (1)

A

Place tape on bag to monitor how much fluid is given over time.