Rational fluid management in today’s ICU practice Crit care review

Question 1

Tabulate major Crystalloids and solutions ?

Answer 1

Question 2

4 stages ADQI fluid mx

Answer 2

As the result of such emerging data, the Acute Dialysis
Quality Initiative (ADQI) XII was focused on IVF dosing
and fluid overload. The ADQI XII investigators reiterated
four main stages during volume resuscitation, initially
proposed by Vincent and colleagues [9, 10] : rescue, optimization,
stabilization, and de-escalation ( fig.1 ). During
the first stage (rescue), the main focus is on the appropriate
use of IVF to improve perfusion deficits. During the
optimization and stabilization stages, the main focus is on
maintaining appropriate perfusion while avoiding further
volume overload. Finally, the last stage (de-escalation)
is concentrated on removal of the fluids that were
used during resuscitation.

Question 3

Define determinants of fluid responsiveness ?

What entails pre load challenge ?

Answer 3

Although there is no consensus definition of
fluid responsiveness, some authors defined it as an increase
in the cardiac output or stroke volume following a
preload challenge:
Preload challenge could be accomplished
by both fluid challenge and/or passive leg raising.

Question 4

Differentiate between fluid challenge and fluid bolus ?

Answer 4