IV Fluids Flashcards

1
Q

indications for IV fluids

A
  1. resuscitation
  2. replacement
  3. maintenance
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2
Q

two main types of fluids

A
  1. crystalloids

2. colloids

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3
Q

examples of crystalloids

A
0.9% saline
5% dextrose
0.18% NaCl in 4% glucose
Hartmann's
plasma-Lyte 148
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4
Q

example of colloid

A

human albumin solution

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5
Q

when are colloids used?

A

decompensated liver disease

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6
Q

what does 0.9% saline contain?

A

1L water
154mmol Na+
154mmol Cl-

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7
Q

risks with using 0.9% saline

A
hypernatraemia
metabolic acidosis (hyperchloraemic)
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8
Q

what does dextrose contain?

A

1L water, 50g glucose

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9
Q

what does 0.18% NaCl in 4% dextrose contain?

A

1L water
31 Na
31 Cl
40g glucose

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10
Q

what does Hartmann’s contain?

A
water
Na
Cl
K
Ca
lactate (reduce risk of acidosis)
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11
Q

what does Hartmanns fill?

A

ECF

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12
Q

what does dextrose fill?

A

all

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13
Q

what does plasma-Lyte 148 contain?

A
water
Na
Cl
K
Mg
acetate
gluconate
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14
Q

what does plasma contain

A

Na 135-145
Cl 92-109
Ca 192.35
K 3.5-5

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15
Q

which are the isotonic solutions?

A

0.9% saline
Hartmann’s
plasma-Lyte

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16
Q

which are the hypotonic solutions?

A

dextrose

0.18% NaCl

17
Q

what do hypotonic solutions risk?

A

hyponatraemia

18
Q

example of hypertonic solution?

A

3% saline

19
Q

which solutions increase ECF?

A

0.9% saline

Hartmann’s

20
Q

what increases all compartments?

A

1L 5% glucose

21
Q

what increases plasma volume and decreases interstitial volume?

A

1L gelofusion (colloid)

22
Q

resuscitation fluids given?

A

500ml over 15 minutes (stat)

23
Q

which solutions can you not give stat?

A

potassium containing

24
Q

daily water maintenance

A

25-30ml/kg/day

25
Q

daily Na, K and Cl maintenance per day?

A

1mmol/kg/day

26
Q

glucose requirements per day

A

50-100g

27
Q

what are requirements based on?

A

ideal body weight rather than BMI

28
Q

suggested maintenance

A

0.18% sodium chloride in 4% glucose with 27mmol/l of potassium