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  • Parenteral Fluid Therapy: Resuscitation Repair Maintenance PN

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    Sathya
    5 vues8 pages
    This document discusses different types of parenteral fluid therapy including resuscitation, repair, maintenance, and perfusion/oxygenation. It compares resuscitation fluids which are high in sodium over 100 mmol/L and may be low or without potassium, versus maintenance fluids which are moderate in sodium 50-100 mmol/L and provide daily potassium requirements. Replacement fluids like isotonic fluids increase extracellular fluid while hypotonic maintenance fluids increase intracellular fluid more than extracellular fluid. Albumin and plasma expanders are reserved for hemorrhagic shock or severely depleted intravascular volume. The body's needs include 35 ml/kg/hr of fluid, 25-30 kkal/kg/hr of calories distributed between carbohydrates,

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    CAIRAN INFUS

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    This document discusses different types of parenteral fluid therapy including resuscitation, repair, maintenance, and perfusion/oxygenation. It compares resuscitation fluids which are high in sodium over 100 mmol/L and may be low or without potassium, versus maintenance fluids which are moderate in sodium 50-100 mmol/L and provide daily potassium requirements. Replacement fluids like isotonic fluids increase extracellular fluid while hypotonic maintenance fluids increase intracellular fluid more than extracellular fluid. Albumin and plasma expanders are reserved for hemorrhagic shock or severely depleted intravascular volume. The body's needs include 35 ml/kg/hr of fluid, 25-30 kkal/kg/hr of calories distributed between carbohydrates,

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    5 vues8 pages

    Parenteral Fluid Therapy: Resuscitation Repair Maintenance PN

    Transféré par

    Sathya
    This document discusses different types of parenteral fluid therapy including resuscitation, repair, maintenance, and perfusion/oxygenation. It compares resuscitation fluids which are high in sodium over 100 mmol/L and may be low or without potassium, versus maintenance fluids which are moderate in sodium 50-100 mmol/L and provide daily potassium requirements. Replacement fluids like isotonic fluids increase extracellular fluid while hypotonic maintenance fluids increase intracellular fluid more than extracellular fluid. Albumin and plasma expanders are reserved for hemorrhagic shock or severely depleted intravascular volume. The body's needs include 35 ml/kg/hr of fluid, 25-30 kkal/kg/hr of calories distributed between carbohydrates,

    Droits d'auteur :

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    PARENTERAL FLUID THERAPY

    RESUSCITATION REPAIR MAINTENANCE PN

    PERFUSION & CORRECT HOMEOSTASIS/ CORRECT


    OXYGENATION ELECT & AB SUPPORTIVE NUTRITION ST
    Resuscitation vs Maintenance

    RESUSCITATION MAINTENANCE

     Elect of High sodium > 100 mmol/L • Moderate sodium 50-100 mmol/L
     or colloid • K+ based on daily req
     Low or no K+ • 20 drops/min 500 ml/6 hr
     20-30 ml/kg/hr (DSS, diarrhea)
     2-3 L/10-15 min (hemorrhagic shock)

    mmol = mg/atomic weight

    Rate of infusion is not the same as daily dosage !!


    Replacement vs Maintenance fluid

    Plasma Replacement Maintenance


    ISOTONIC HYPOTONIC

    290 308 273 455 290


    177 140
    + +
    278 150
    Normal AR/ LR NaCl 0.45%-D5 Typical
    maintenance
    saline
    Isotonic infusion
    • Acetated Ringer’s
    1 L of • Lactated Ringer’s
    • Normal saline

    Replace acute/
    increases ECF abnormal
    loss

    ICF ISF Plasma

    800 ml 200 ml
    Hypotonic infusion
    1 L of 5% dextrose/ Maintenance sol

    Replace Normal
    increases ICF > ECF loss (IWL + urine)

    ICF ISF Plasma

    660 ml 255 ml 85 ml
    Albumin infusion
    100 ml L of Albumin 25%

    Hemorrhagic shock
    increases intravascular Burn
    Reserved for patients
    in whom ISF expanded
    but intravascular and
    albumin is severely
    depleted
    ICF ISF Plasma

    300-600 ml over 30-60 min


    Ref. Evan R. Geller. Shock & Resuscitation. McGraw Hill, 1993. p 221
    Plasma Expander infusion
    500 m L of Dextran
    Gelatin
    HES

    increases intravascular Hemorrhagic shock


    DSS
    Loading reg anes

    ICF ISF Plasma

    750 ml at 1 hour; 1050 ml at 2 hr


    Ref. Evan R. Geller. Shock & Resuscitation. McGraw Hill, 1993. p 225
    KEBUTUHAN TUBUH :
    • Cairan : 35 ml / kgBB / hr
    • Kalori : 25 – 30 kkal / kgBB / hr
    • Karbohidrat 50 – 60 %
    • Lemak 20 – 35 %
    • Protein 10 %
    • Mikronutrisi
    • Trace element dan mineral

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