resus fluid therapy

Question 1

When is ‘resuscitation’ fluid therapy indicated?

Answer 1

1. Hypvolaemia

Question 2

what is the aim of fluid resus?

Answer 2

Increase the volume of intravascular fluid

Question 3

which fluid is used for resusitation?

Answer 3

1. Saline (crystalloid) most commonly used due to reduced risk of anaphylaxis
2. Colloid (can also be considered)

Question 4

What are the management guidelines for acute resuscitaion?

Answer 4

Assess using ABCDE approach

Identify cause of the deficit and respond

1. Give a fluid bolus of 500ml crystalloid stat
2. Reassess patient
3. Further bolus of 250 - 500ml of crystalloid

Question 5

management guidelines for acute resuscitaion - when should expert help be sought?

Answer 5

After 2L:

Consider expert help

Question 6

Which resus fluid should be administered if sepsis is suspected?

Answer 6

Hartman’s