Fluid Therapy

About this set

Created by:

KBrown09  on February 13, 2012

Subjects:

Medicine III

Classes:

KSUCVM 2013

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Fluid Therapy

Total body water is ____ of the body weight
60%
1/22
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Total body water is ____ of the body weight 60%
What is the total body water distribution between ICF and ECF? ICF: 40% of body weight
ECF: 20% of body weight
How much of the ECF is divided into interstitial volume vs. blood volume Interstitial: 12% of body weight
Blood: 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 adults
100 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/hr

usually give half the shock dose & reassess in 1 hr
5 types of crystalloid fluids 0.9% NaCl
LRS
Plasmalyte
5% dextrose
5% NaHCO3
Which crystalloid fluids contain Na? Everything but 5% dextrose
Which crystalloid fluids contain Cl? 0.9% NaCl
LRS
Plasmalyte
Which crystalloid fluids contain K? LRS
Plasmalyte
Which crystalloid fluids contain Ca? LRS
Which crystalloid fluids contain Mg? Plasmalyte
Which 2 crystalloid fluids are alkalinizing? LRS
Plasmalyte
If suspect lactic acidosis, what should you do first before giving HCO3? Rehydrate with LRS & then reassess

most will not need supplementation
How would calculate HCO3 deficit? (24-HCO3) x Vd x body weight

Vd 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 quickly

should be followed by oral or IV isotonic fluids
How do replacement & maintenance fluids differ? Replacement: same conc. of electrolytes as ECF
Maintenance: 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 feces
Metabolic alkalosis: proximal enteritis, V+

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