IV Fluid Prescribing

Question 1

name the 5 R’s of resuscitation

Answer 1

resuscitation
replacement
routine maintenance
redistrbution
reassessment

Question 2

is a crystalloid or colloid solution preferred for IV resus?

Answer 2

crystalloid

Question 3

risk of using 0.9% sodium chloride?

Answer 3

hyperchloraemic metabolic acidosis

Question 4

when would human albumin solution be considered in patients?

Answer 4

if they have severe sepsis

Question 5

euvolaemic patient with hyponatraemia?

Answer 5

SIADH

Question 6

Ix for suspected SIADH?

Answer 6

paired urine and serum osmolality and urinary electrolytes

Question 7

how should fluids be managed for patients with SIADH?

Answer 7

restrict water to <1l per day

Question 8

how much should Na be raised by in a 24hr period?

Answer 8

4-6l

Question 9

what is sodium level is classed as severe hyponatraemia?

Answer 9

<120mmol/l

Question 10

how can hyponatraemia cause cerebral oedema?

Answer 10

osmotically driven water flow across the blood brain barrier

Question 11

emergency fluid treatment of severe hyponatraemia?

Answer 11

100ml of 3% saline over 10-15 minutes