Intravenous Fluids: Composition and Indications Mnemonics Flashcards
What does the mnemonic ‘DCRP’ stand for in relation to common crystalloids?
Dextrose, Chloride solutions, Ringer’s lactate, Plasma-Lyte
What are the indications for Normal Saline (0.9% NaCl) represented by the mnemonic ‘SHOCK’?
Sepsis/Shock, Hypovolemia, Organ perfusion, Contrast-induced nephropathy prophylaxis, Kidney-friendly
When should hypotonic fluids be avoided according to the mnemonic ‘HYPONAT’?
Head injury, Young children, Post-op patients, Osmotic demyelination risk, Neurologic symptoms, Adrenal insufficiency, Trauma
What does the mnemonic ‘SALT’ indicate for the use of Hypertonic Saline (3% NaCl)?
Symptomatic hyponatremia, Acute brain injury, Low Na⁺, Trauma resuscitation
What are the contraindications for Ringer’s Lactate represented by the mnemonic ‘LIVER K’?
Liver failure, Increased K⁺, Volume overload, Edematous states, Renal failure, Kidney dysfunction
What does the mnemonic ‘ALBUMIN’ signify in relation to Albumin indications?
Ascites, Low oncotic pressure, Burns, Under-resuscitated shock, Massive plasmapheresis, Intractable edema, No benefit in critical illness
What is the ‘1-3-6 Rule’ concerning isotonic fluids?
1 L infused → ~250 mL stays intravascular, 3x more goes to interstitial space, 6x more needed to fully expand blood volume in hemorrhage
How is the maintenance fluids calculation determined using the ‘4-2-1 Rule’?
4 mL/kg for first 10 kg, 2 mL/kg for next 10 kg, 1 mL/kg for remaining weight
What key electrolytes are included in maintenance fluids as represented by the mnemonic ‘NaK’?
Na⁺: 1–2 mEq/kg/day, K⁺: 0.5–1 mEq/kg/day
True or False: Ringer’s Lactate is contraindicated in liver failure.
True
Fill in the blank: The mnemonic ‘SHOCK’ is used to remember the indications for _______.
Normal Saline (0.9% NaCl)
Fill in the blank: The ‘4-2-1 Rule’ is used to calculate _______ fluids.
maintenance
True or False: Hypertonic Saline (3% NaCl) should be used for asymptomatic hyponatremia.
False
