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Fl. Repl. Uses

Uses of the fluid replacement classifications

Crystalloids Replacement, maintenance therapy
Colloids Volume expanders, Increases oncotic pressure, used to treat shock and burns and to treat acute liver failure, plasmanate is used instead of plasma to replace body protein
Blood & Blood products Whole blood w/o plasma decreases risk of fluid overload, decreased exposure to plasma antigens, and has a possible reduced risk of transmitting hepatitis B or C.
Lipids Used when Ivs last longer than 5 day
What is normal urine output? 30ml an hour
Patient has lost 20% blood or less (slow loss) Crystalloids
Patient has lost 20-50% blood (slow loss) Nonprotein plasma expanders - dextran & hetastarch (colloids)
Patient has lost over 50% (slow loss) or 20% (acute) blood Whole blood or PRBC's and/or PPF & FFP
Patient has lost 80% or more blood Whole blood or PRBC's and administer 1-2 units of FFP & 1-2 units of platelets to prevent hemodilution of clotting factors and bleeding
Created by: tjallen011