IV fluids - IV fluids This note covers IV fluids and how to...

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IV fluids This note covers IV fluids and how to administer them. The information outlined applies to UK guidelines and is meant as a guide only. Please consult your local guidelines before treating any patients. Indications INDICATIONS Resusitation – when hypovolaemic Maintenance – when oral intake not possible Daily requirements (for a 70kg man) - H2O 2.5-3.0L - Na+ 70-140mmol - K+ 35-70mmol. Dont give >20mmol of K+/hr due to risk of arrhythmias Diuresis – toxins, hypercalcaemia etc. Types of fluid TYPES OF FLUID Crystalloids: 0.9% NaCl – 1L bags, contains 1L of water,150mmol Na+ and 150mmol of Cl- 5% dextrose – contains 1L water and 50g of glucose. Give when want to increase total water without affecting salt. Give K+ with dextrose as glucose increases K+ uptake. 0.18%NaCl + 4% dextrose – contains 4/5 dextrose and 1/5 NaCL – 1L water, 30mmol Na+, 30mmol Cl-, 40g glucose. Hartmann's solution – contains 131mmol Na+, 111mmol Cl-, 29mmol lactate, 5mmol K+, 2mmol Ca 2+ . Used more commonly in surgical patients.
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IV fluids - IV fluids This note covers IV fluids and how to...

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