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Fl. Repl. Uses
Uses of the fluid replacement classifications
Term | Definition |
---|---|
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 |