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Intravenous Fluid Guidelines: Adults

Intravenous Fluid guidelines : Adults Before Prescribing Is my patient Euvolaemic? Hypovolaemic? Hypervolaemic? Can my patient have Fluid enterally? Why does my patient need IV fluids? How much Fluid does my patient need? What type of Fluid does my patient need? Fluid Status Assessment History: Limited oral intake, abnormal losses, co-morbidities Clinical examination: Pulse, BP, capillary refill, JVP, oedema, postural hypotension, lung fields Clinical monitoring: NEWS, Fluid balance, weight, CXR Laboratory investigations: FBC, U&Es Special Considerations Obesity: Use ideal body weight. Seek senior advice if BMI>40 Frail, Elderly, CCF or Renal impairment: consider smaller volumes of maintenance Fluid (20-25mL/kg/day) Bleeding: Replace with blood products if required Diabetes or patient on VRII Routine Maintenance The Fluid of choice for patients unable to take enteral fluids but with no abnormal losses is: Sodium Chloride + Dextrose 4% + 20-40mmol/Litre of Potassium Chloride.

Intravenous Fluid Guidelines: Adults efore Prescribing Is my patient Euvolaemic? Hypovolaemic? Hypervolaemic? The fluid of choice for patients unable to take enteral fluids an my patient have fluid enterally? but with Why does my patient need IV fluids? Sodium hloride 0.18% + Dextrose 4% + 20 How much fluid does my patient need? Potassium hloride.

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