Fluid Therapy
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22 terms
Terms | Definitions |
|---|---|
Total body water is ____ of the body weight | 60% |
What is the total body water distribution between ICF and ECF? | ICF: 40% of body weightECF: 20% of body weight |
How much of the ECF is divided into interstitial volume vs. blood volume | Interstitial: 12% of body weightBlood: 8% of body weight |
How do you assess dehydration? | tachycardia, reduced jug fill, cold extremities, tacky MM, sunken eyes |
How much maintenance fluids to adult horses need? foals? | 60 ml/kg/day adults100 mg/kg/day foals |
How much oral fluids can be given at one time? | 4-6 L in 30-60 min |
What is the shock dose for an adult horse? | 60-80 ml/kg/hrusually give half the shock dose & reassess in 1 hr |
5 types of crystalloid fluids | 0.9% NaClLRS Plasmalyte 5% dextrose 5% NaHCO3 |
Which crystalloid fluids contain Na? | Everything but 5% dextrose |
Which crystalloid fluids contain Cl? | 0.9% NaClLRS Plasmalyte |
Which crystalloid fluids contain K? | LRSPlasmalyte |
Which crystalloid fluids contain Ca? | LRS |
Which crystalloid fluids contain Mg? | Plasmalyte |
Which 2 crystalloid fluids are alkalinizing? | LRSPlasmalyte |
If suspect lactic acidosis, what should you do first before giving HCO3? | Rehydrate with LRS & then reassessmost will not need supplementation |
How would calculate HCO3 deficit? | (24-HCO3) x Vd x body weightVd is usually 0.4 or 0.5 replace 1/2 in first 1-2 hrs, then reassess. Give rest if needed over next 12-24 hrs |
If you going to give bicarb, what shouldn't the fluids contain? | Ca2+will precipitate out together |
What is hypertonic saline used for? | Expansion of intravascular volume quicklyshould be followed by oral or IV isotonic fluids |
How do replacement & maintenance fluids differ? | Replacement: same conc. of electrolytes as ECFMaintenance: less Na and more Ca, Mg & K |
When are colloid fluids used? | in patients with hypoalbuminemia |
Which colloid will have more effect on albumin concentrations: plasma or hetastarch? | Hetastarch only increases oncotic pressure, but doesn't actually add to the albumin concentrations |
What are the 2 most common acid/base abnormalities associated with GI dz? | Metabolic acidosis: lactic acidosis due to tissue hypoxia, or loss of HCO3 in fecesMetabolic alkalosis: proximal enteritis, V+ |
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