IV fluids Flashcards
1
Q
When should you give 5% dextrose instead of 0.9% saline?
A
- When the patient is hypernatraemic
- When the patient is hypoglycaemic
2
Q
When should you give human albumin solution?
A
When the patient has ascites. The albumin maintains oncotic pressure and the sodium will worsen ascites.
3
Q
How do you assess if rescucitation fluids are working?
A
BP, HR and urine output
4
Q
How do you treat oliguria (<30ml/h)
A
Give 1L of saline over 2-4hrs
5
Q
How much fluids do patients need over 24hrs?
A
3L in adults, 2L in elderly
6
Q
Whats the ‘general rule’ in giving daily maintenance fluids?
A
2 salty, 1 sweet
7
Q
How much KCl should you give a patient over 24hrs with normal potassium?
A
40mmol
8
Q
Whats the maximum infusion rate of potassium?
A
10mmol/hour
9
Q
What steps should you do before prescribing fluids to a patient?
A
- Check patients U+E’s.
- Check patient isn’t fluid overloaded - JVP, peripheral and pulmonary oedema
- Ensure patient’s bladder is not palpable
