11/11/16 Set

Front 1

0.9% Normal Saline (has 0.9% sodium)

Back 1

Universal Fluid...commonly used...usually first line
pH 5.5

Front 2

0.45% N. Saline

Back 2

Use if patient in HHS (Hyperosmolar Hyperglycaemic State) and their Na > 150

Front 3

5% Dextrose

Back 3

Fluid that is closest to water
Give in Hypernatraemia (NA > 150)

Front 4

1.8% N. Saline

Back 4

ONLY given if in HDU (High Dependency Unit) and if patient is profoundly hyponatraemic (Na < 105) and if they are fitting

Front 5

10% dextrose

Back 5

- Give in people who are having VRII (variable rate insulin infusion)...usually if patient has DKA

- People with hypo's get it (cause of hypo may be diabetes, sepsis etc.)

Front 6

20% Dextrose

Back 6

- Profound Hypoglycaemia

- Hypokalaemia (as you give insulin as part of treatment you need to give dextrose to prevent dangerous hypo's)

Front 7

50% Dextrose

Back 7

- Hypoglycaemic coma

Front 8

Hartmann's Solution

Back 8

- This has 5mmol of K+ in it
- Used as a maintenance fluid...so if patients have been on N Saline for > 24 hours use this
- DO NOT give to someone in AKI due to potassium content

Front 9

1.26% Sodium Bicarbonate

Back 9

If patient has Hyperkalaemia with bicarb < 22 give this if other treatment isn't bringing potassium down.

DO NOT give in children (can cause encephalopathy)

As in kidneys sodium is exchanged for hydrogen ions or potassium...knocking out hydrogen ion content with the sodium bicarb means potassium is what is exchanged for sodium

Front 10

8.4% Sodium Bicarbonate

Back 10

- Used in a cardiac arrest situation whilst doing CPR. Usually in ICU

Front 11

HAS 4.5% (albumin solution)

Back 11

- Use in chronic liver disease (as hypoalbuminaemia occurs)

- Use after ascitic tap (as otherwise the space will fill up with fluid again)

Front 12

HAS 20% (albumin solution)

Back 12

- Use in extreme liver disease

- Massive ascited

- Fluid overloaded patient

Front 13

FFP (Fresh frozen plasma)

Back 13

- Is a part of the trauma bundle

- Part of massive transfusion bundle

- Give if pt who is on warfarin has INR > 8 and is bleeding

Front 14

Cryoprecipitate

Back 14

Give in patient with DIC (disseminated intravascular coagulation)

Front 15

Platelets

Back 15

Give if platelets < 100 and active bleeding (with specialist advice)

If pt not bleeding give platelets if < 10