IV FLUIDS

Question 1

Crystalloids

Hartmann’s solution

Answer 1

I: provide sodium and water in pts unable to take enough orally. Expand circulating volume in impaired perfusion e.g. shock
SE: Oedema, pulmonary oedema
C: Heart failure, renal impairment, severe liver disease
PC: report any swelling or irritation or wetness around the cannula site - not functioning properly

Question 2

Colloids

Gelatins, Albumin

Answer 2

I: expand circulating volume in impaired tissue perfusion e.g shock. Cirrhotic liver disease, albumin is used to prevent hypovolaemia in large volume paracentesis (ascitic fluid drainage)
SE: Oedema, pulmonary oedema, Gelatin can cause hypersensitivity
C: HF, Renal impairment