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35 Cards in this Set

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Common reasons to provide fluid therapy

maintain hydration


replace fluid losses


treat shock or hypoproteinemia


increase urine output


correcting acid-base/electrolyte disturbances


provide nutritional support


deliver medication

body is approximately ____% water
60
2 body fluid compartments

intracellular fluids


extracellular fluids



within the cells, interstitial fluid between the cells, intravascular fluid or plasma within the blood vessels
intracellular fluids
interstitial fluid and plasma
extracellular fluids
fluids are gained via these two things

oral intake


metabolism in the body

fluids are lost by these 3 things

respiration


excretion


minor routes

vomiting and diarrhea, increase in respiration, diseases with polyuria, any chronic or acute injury or disease that causes fluid loss, any disease state or injury that prevents or decreases the oral intake of fluids
abnormal fluid loss
decrease in weight, increase in skin turgor, tacky mucous membranes, tachycardia, prolonged CRT. These are all signs of what?
signs of dehydration
percentage of dehydration that is not detectable
<5%
percentage of dehydration that shows definite increase in skin turgor, slight increase in CRT, possibly dry mucous membranes
8%
percentage of dehydration that shows slight loss in skin turgor, semi moist mm
5-6%
percentage of dehydration that shows shock and its clinical signs, very depressed patient, imminent death
12-15%
percentage of dehydration where skin turgor remains, sunken eyes, increased CRT, dry mucous membranes, increased heart and respiratory rates, cold extremities, possible signs of shock
10-12%
proportion of blood volume that is occupied by red blood cell
PCV (packed cell volume)
total serum protein test measures the total amount of protein in the blood. it also measures the amounts of two major groups of proteins in the blood :albumin and globulin
total plasma protein
PCV and TP increase with:
all types of fluid loss, except severe hemorrhage when both decrease
measurement of solids in solution
USG (urine specific gravity)
normal urine production is __ to __ mL/kg/hr
1, 2
ability to move water across a selective mebrane
tonicity
isotonic electrolyte solutions, contain primarily water with sodium or glucose
crystalloids
crystalloids are most commonly used for
volume expansion

solutions containing a protein or starch


molecules, high molecular weight particles remain intravascular for longer periods of time

colloids
most commonly used in patients with...
cerebral or pulmonary edema, and hyperproteinemia
LRS, 0.9% saline, hypertonic saline, plasmalyte, normasol are all examples of what type of fluid
crystalloids
dextran, hetastarch, plasma, blood, oxyglobin are all examples of what type of fluid
colloids
5 types of fluid routes
oral, subcutaneous, intravenous, intramedullary, intraperitoneal
phase of fluid therapy that involves correction of dehydration, replacement of ongoing losses, and provision of maintenance fluid requirements
replacement phase

phase of fluid therapy:


fluid resuscitation is aimed at restoration of vascular volume in an effort to reverse hypovolemia and/or shock state

resuscitation phase

phase of fluid therapy:


patients that present without dehydration or ongoing losses may start out on a maintenance rate during hospitalization if they are unwilling or unable to drink adequately on their own

maintenance phase
formula for resuscitation phase for canine and feline

canine: 90mL/kg/hr


feline: 60mL/kg/hr

maintenance rate
60mL/kg/hr
surgical fluid rate
10mL/kg/hr
contraindications for rapid fluid therapy
pulmonary contusions, existing pulmonary edema, brain injury, CHF
signs of overhydration
restlessness, increased respiratory rate, increased lung sounds, increased blood pressure, chemosis, pitting/peripheral edema