replacement IV therapy

Question 1

When are replacement fluid indicated?

Answer 1

Patient is losing excess fluid and electrolytes via GI/Kidney route

2. Estimate losses and add to the routine maintenance fluid

Question 2

What is the first line replacement fluid?

Answer 2

1. Hartmann’s solution

2. preferred over normal saline when plasma chloride is >108 mmol

Question 3

When is normal saline used for replacement therapy?

Answer 3

1. plasma chloride <98

2. Normal saline is more appropriate