Fluid Management

Body Fluids

Intracellular 67% Extracellular Interstitial 25% Intravascular 8%     Serum Composition   Sodium 135 - 145 Potassium 3.5 - 5.0 Calcium 2.2 - 2.8 Chloride 95 - 110

Fluid Types

Crystalloids   Normal (0.9%) Saline   Distribution   75% 25% Composition   Sodium 150 Chloride 150 Hartmann's Solution   Distribution   75% 25% Composition   Sodium 150 Potassium 5 Calcium 2 Chloride 111 5% Dextrose   Distribution   65% 25% 10% Composition   Dextrose 50gm / L Colloids   Haemaccel   Distribution   100% Composition   Sodium 145 Potassium 5 Calcium 6 Chloride 145 5% Normal Saline Albumin (NSA)   Distribution   100% Composition   Sodium 140 Chloride 125 Blood Products   Whole blood transfusion     Packed Cells     Fresh Frozen Plasma (FFP)     Platelets

Assessment

History   Trauma Bleeding Vomitting Diarrhoea Examination   Vitals   Tachycardia Tachypnoea Hypotension JVP Postural hypotension Loss of skin turgour & elasticity Dry mouth & lips Smooth shinny tongue Mental state - anxious, confused Urine output

Treatment