How Much Fluid? (ASAN002/4) Flashcards
To determine how much fluid is required, we need to calcuate how much fluid is needed to: (3)
- Replace (rehydrate) fluid loss
- Maintain normal hydration
- Predict any ongoing losses
What do we need to calculate to determine how much fluids we need for Rehydration? (2)
Calculate the amount of missing fluids or Fluid Loss.
How do we calculate fluid loss (L)? (1)
Weight kg x % dehydration = L fluid loss
eg: 10kg patient with 5% dehydration
10 x 5/100 = 0.5L = 500mls
What is the quick formula to give Fluid Loss in ml? (1)
% dehydration x weight kg x 10 = mls
eg: 10kg patient with 5% dehydration
5 x 10 x 10 = 500mls
What do we need to calculate to determine how much fluids we need for Maintenance? (2)
Insensible fluid losses (GIT, Resp, Skin)
+
Sensible fluid losses (urine, faeces)
What are Insensible Losses? (3)
Fluids lost through:
* Gastrointestinal Tract
* Respiratory Tract
* Skin / Sweating
What is the calculation for Insensible losses? (1)
20mls/kg/day
What are Sensible Losses?
Fluids lost through:
* Urine
* Faeces
What is the calcuation for Sensible losses? (2)
1–2ml/kg/hour = 24–48mls/kg/day
What is the calculation to estimate Combined Maintenance Volume? (1)
40 – 60ml/kg/day
Why do large dogs typically have lower maintenance volume requirements than small dogs? (1)
Due to lower surface area : body mass ratio
What does Ongoing Fluid Losses refer to? (1)
Fluid loss > maintenance req of normal patient
What are some examples of Ongoing Fluid Losses? (4)
- Vomiting
- Diarrhoea
- Bleeding
- Wound exudate
How do we calculate Ongoing Fluid Losses? (1)
Need to estimate as difficult to predict & calculate exact amt.
How do we Calculate Fluid Requirements? (4)
Fluid Requirement
fluid deficit
+ maintenance requirements
+ ongoing losses