IV fluid prescribing - renal

Question 1

5 Rs of fluid prescribing

Answer 1

Resuscitation 
Replacement 
Routine maintenance
Redistribution 
Reassessment

Question 2

resuscitation

Answer 2

haemodynamically unstable
replace deficit and cover ongoing losses
large boluses of fluid repeatedly

Question 3

routine maintenance

Answer 3

no deficits

work out how much they would normally need

Question 4

replacement

Answer 4

have abnormal losses but are not yet shocked

Question 5

NICE guideline for IV fluid therapy

Answer 5

useful resource

Question 6

what do you give in fluid resuscitation

Answer 6

500ml bolus fluid stat

Question 7

routine maintenance volumes for fluids, Na, K and glucose

Answer 7

25-30ml/kg/day
1mmol/kg/day Na and K
50-100g/day glucose

Question 8

crystalloid/colloid fluids are better for resus

Answer 8

crystalloid

Question 9

examples of crystalloid fluids

Answer 9

saline 0.9%

Hartmanns (balanced crystalloid)

Question 10

which fluid can cause hyperchloraemic metabolic acidosis

Answer 10

NaCl 0.9%

Question 11

what fluids would you give someone with hyperkalaemia

Answer 11

sodium chloride 0.9%

because Hartmanns has K in it

Question 12

dextrose is essentially water

Answer 12

yes

therefore, never used for replacement or resuscitation

Question 13

example of colloid fluid and when would you give this

Answer 13

albumin 4-5%

only in patients with SEVERE sepsis for fluid resuscitation

Question 14

4 groups of commonly used blood products

Answer 14

Packed red cells - PRCs
Platelets
FFP
Cryoprecipitate