hypovolemia from fluid loss Flashcards
What is the initial IV fluid treatment for an adult showing signs of hypovolemia?
Administer 1 litre of 0.9% sodium chloride IV
What is the initial IV fluid treatment for a child showing signs of hypovolemia?
Administer 20 ml/kg of 0.9% sodium chloride IV
How should fluid therapy be adjusted in cases of hypovolemia?
Fluid therapy should be titrated to signs of intravascular volume and perfusion
When is rapid IV fluid administration required in hypovolemic patients?
Rapid IV fluid administration is required only in cases of severe shock
What is the recommended duration for administering IV fluid boluses in the absence of severe shock?
IV fluid boluses should be administered over 30-60 minutes
What should patients be encouraged to do when appropriate in the context of hypovolemia?
Patients should be encouraged to drink fluids
What are some clinical features of hypovolemia that should be detected early?
Tachycardia, hypotension, decreased urine output, confusion
What factors may mask the signs of hypovolemia?
Drugs (beta-blockers), pre-existing conditions (autonomic dysfunction), normal physiology (elite athlete, pregnancy, young)
Fill in the blank: The initial treatment for adult hypovolemia is _______.
1 litre of 0.9% sodium chloride IV
what is Aceites
Ascites is a buildup of fluid in your abdomen causing a swollen belly. It most often occurs because of cirrhosis, a liver disease.
presentation of shock/fluid loss
- tachy, hypo, dry mouth, pale, cool extremities, slow cap refill, pale under the eyes (normally pink and moist),
why do we not want to give rapid bolus of fluid when possible
- overloading the cardiovascular system of a compromised patient
- diluting blood volume
- electrolyte/ acid base disruption
- disrupt clots
