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Fluid Therapy - Coggle Diagram

- - - - inappetence
    - - rapid HR
      - decreased BP
      - emergency
  - - - age
      - nutrition effects
      - skin disease
    - - pulse rate
      - pulse quality
  - - - elevated before fluids
- - - - sweat
        
        iso
      - GI secretion
        
        isotonic
        
        elecctrolyte loss
      - respiratory
        
        iso (e- free water)
      - urine
        
        ranges from hypo to hyper
        
        usually iso
    - - crystalloids
        
        balanced electrocytes
        
        replacement
        
        goes into cells and space
        
        exs.
        
        LRS
        
        saline
        
        normosol
        
        plasmalyte
        
        plasma
        
        maintenance
        
        sodium is in 1/3 concentration of replacement
        
        plasmalyte 56
        
        normasol M
        
        0.9% saline
        
        D5W
        
        oral
        
        pedialyte
        
        tonicity
        
        measurement of effective osmotic pressure gradient
        
        always in reference to patient's plasma
        
        usually working with isotonic (same conc. as plasma)
        
        hypotonic moves fluid into cells
        
        0.45% NaCl
        
        2.5% dextrose
        
        sterile water
        
        never used, why is it on the slide then...
        
        hypertonic pulls fluid out of cells
        
        7.5% NaCl
        
        10% dextrose
        
        rare
      - colloids
        
        large molecules
        
        when you want to keep fluid in vascular space
        
        whe perfusion needed
        
        function like blood products
  - - - :cat: 50-55ml/kg/hr
      - :dog: 90ml/kg/hr
    - - urgency
      - concurrent disease
      - risk of fluid overload
        
        heart disease
        
        renal disease
      - rate of developing deficit
  - - - mild cases
    - - isotonic only
      - mild cases
      - if severe, won't be effective
    - - rare
    - - young
      - collapsed
- - - - delay in skin tent return
      - slight prolonged CRT (2+ s)
      - +/- eyes sunken in orbits
      - +/- dry muous membranes
  - - - shock
      - death is imminent
- - - - need to replace 1100mL
- - - - no way to measure this directly
    - - interstitial fluid volume 12L, 80% ECF
      - plasma volume 3L, 20% ECF