Uses of the fluid replacement classifications
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Crystalloids | Replacement, maintenance therapy
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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
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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.
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Lipids | Used when Ivs last longer than 5 day
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What is normal urine output? | 30ml an hour
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Patient has lost 20% blood or less (slow loss) | Crystalloids
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Patient has lost 20-50% blood (slow loss) | Nonprotein plasma expanders - dextran & hetastarch (colloids)
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Patient has lost over 50% (slow loss) or 20% (acute) blood | Whole blood or PRBC's and/or PPF & FFP
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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
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