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35 Cards in this Set
- Front
- Back
Common reasons to provide fluid therapy
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maintain hydration replace fluid losses treat shock or hypoproteinemia increase urine output correcting acid-base/electrolyte disturbances provide nutritional support deliver medication |
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body is approximately ____% water
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60
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2 body fluid compartments
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intracellular fluids extracellular fluids |
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within the cells, interstitial fluid between the cells, intravascular fluid or plasma within the blood vessels
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intracellular fluids
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interstitial fluid and plasma
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extracellular fluids
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fluids are gained via these two things
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oral intake metabolism in the body |
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fluids are lost by these 3 things
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respiration excretion minor routes |
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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
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abnormal fluid loss
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decrease in weight, increase in skin turgor, tacky mucous membranes, tachycardia, prolonged CRT. These are all signs of what?
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signs of dehydration
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percentage of dehydration that is not detectable
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<5%
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percentage of dehydration that shows definite increase in skin turgor, slight increase in CRT, possibly dry mucous membranes
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8%
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percentage of dehydration that shows slight loss in skin turgor, semi moist mm
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5-6%
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percentage of dehydration that shows shock and its clinical signs, very depressed patient, imminent death
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12-15%
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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
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10-12%
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proportion of blood volume that is occupied by red blood cell
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PCV (packed cell volume)
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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
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total plasma protein
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PCV and TP increase with:
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all types of fluid loss, except severe hemorrhage when both decrease
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measurement of solids in solution
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USG (urine specific gravity)
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normal urine production is __ to __ mL/kg/hr
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1, 2
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ability to move water across a selective mebrane
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tonicity
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isotonic electrolyte solutions, contain primarily water with sodium or glucose
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crystalloids
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crystalloids are most commonly used for
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volume expansion
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solutions containing a protein or starch molecules, high molecular weight particles remain intravascular for longer periods of time |
colloids
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most commonly used in patients with...
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cerebral or pulmonary edema, and hyperproteinemia
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LRS, 0.9% saline, hypertonic saline, plasmalyte, normasol are all examples of what type of fluid
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crystalloids
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dextran, hetastarch, plasma, blood, oxyglobin are all examples of what type of fluid
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colloids
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5 types of fluid routes
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oral, subcutaneous, intravenous, intramedullary, intraperitoneal
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phase of fluid therapy that involves correction of dehydration, replacement of ongoing losses, and provision of maintenance fluid requirements
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replacement phase
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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
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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
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formula for resuscitation phase for canine and feline
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canine: 90mL/kg/hr feline: 60mL/kg/hr |
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maintenance rate
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60mL/kg/hr
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surgical fluid rate
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10mL/kg/hr
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contraindications for rapid fluid therapy
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pulmonary contusions, existing pulmonary edema, brain injury, CHF
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signs of overhydration
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restlessness, increased respiratory rate, increased lung sounds, increased blood pressure, chemosis, pitting/peripheral edema
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