IV fluid resuscitation - Revision history

Rossdonaldson1: Changed redirect target from Intravenous fluids (main) to Intravenous fluid therapy

2022-11-30T21:56:02Z

Changed redirect target from Intravenous fluids (main) to Intravenous fluid therapy

← Revisión anterior		Revisión del 21:56 30 nov 2022
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	#REDIRECT[[Intravenous ~~fluids (main)~~]]		#REDIRECT[[Intravenous fluid therapy]]

Rossdonaldson1: Redirected page to Intravenous fluids (main)

2022-11-30T21:51:46Z

Redirected page to Intravenous fluids (main)

← Revisión anterior		Revisión del 21:51 30 nov 2022
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	~~''See~~ [[~~critical care quick reference]] for bolus doses by weight.''~~		#REDIRECT[[Intravenous fluids (main)]]

	~~==Background==~~
	*Total Body Water (TBW) = 0.6 x weight (kg)
	**Of which, 2/3 is intracellular and 1/3 extracellular
	***1/4 of extracellular is vascular

	~~==Maintenance Fluids==~~
	~~===Adult===~~
	*Calculation 1
	**100 cc/kg/d (4cc/kg/h) 1st 10 kg
	**50 cc/kg/d (2cc/kg/h) 2nd 10 kg
	**20 cc/kg/d (1cc/kg/h) each kg > 20
	*Calculation 2
	**1500 cc/m2/d (bsa (m2) = sqr rt [wt (kg) x ht (cm)]/3600
	*Insensible losses = 300-400 cc/m2/d
	*Adult Standard: D5 0.45%NS at 75-125 mL/hr + 20meq/L of KCl
	*Deficit: % dehydration x baseline weight
	*Daily volume needed = maintenance + deficit - fluid already given (i.e. boluses)
	**Hourly rate daily volume/24 hr
	***(or correct 1/2 of deficit in first 8 hr, remainder in next 16)

	~~===Pediatric===~~
	*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
	**Isotonic fluids ~~are now preferred~~ (~~2019 AAP update~~)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

	~~==Electrolytes==~~
	*Maintenance Na = 3 mEq/kg/d; K = 2 mEq/kg/d
	*Deficit = [desired - measured mEq/L] x fD x wt (kg)
	*fD (distribution factor) Na = 0.6, K = 0.6, Cl = 0.2-0.3, HCO3 = 0.5
	*(Maintenance + deficit)/daily volume = concentration of electrolyte in fluid to be given
	*4mL/kg of H2O lost, ups Na by 1meq
	*Normal saline (NS) = 154 mEq Na/L, 1/2 NS = 77 mEq/L, 1/4NS = 38 mEq/L

	~~==See Also==~~
	*[[Intravenous Fluids (Main)]]
	*[[Critical care quick reference]]

	~~== External links ==~~
	* [https://www.google.com/search?q=mdcalc+maintenance+fluids&rlz=1C1VDKB_enUS990US990&oq=mdcalc+main&aqs=chrome.0.0i512j69i57j0i390.3894j0j7&sourceid=chrome&ie=UTF-8/ MDCalc maintenance fluids]

	~~==References==~~
	~~<references/>~~


	~~[[Category:FEN~~]]

Rossdonaldson1: /* Maintenance Fluids */

2022-11-30T17:44:36Z

Maintenance Fluids

← Revisión anterior		Revisión del 17:44 30 nov 2022
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	*Calculation 2		*Calculation 2
	**1500 cc/m2/d (bsa (m2) = sqr rt [wt (kg) x ht (cm)]/3600		**1500 cc/m2/d (bsa (m2) = sqr rt [wt (kg) x ht (cm)]/3600
			*Insensible losses = 300-400 cc/m2/d
	Insensible losses = 300-400 cc/m2/d		*Adult Standard: D5 0.45%NS at 75-125 mL/hr + 20meq/L of KCl
			*Deficit: % dehydration x baseline weight
			*Daily volume needed = maintenance + deficit - fluid already given (i.e. boluses)
	Adult Standard: D5 0.45%NS at 75-125 mL/hr + 20meq/L of KCl		**Hourly rate daily volume/24 hr
			***(or correct 1/2 of deficit in first 8 hr, remainder in next 16)
	Deficit: % dehydration x baseline weight


	Daily volume needed = maintenance + deficit - fluid already given (i.e. boluses)

	Hourly rate daily ~~vol~~/24 hr

	(or correct 1/2 of deficit in first 8 hr, remainder in next 16)

	===Pediatric===		===Pediatric===

Rossdonaldson1: /* Electrolytes */

2022-11-30T17:43:03Z

Electrolytes

← Revisión anterior		Revisión del 17:43 30 nov 2022
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	==Electrolytes==		==Electrolytes==
	Maintenance Na = 3 mEq/kg/d; K = 2 mEq/kg/d		*Maintenance Na = 3 mEq/kg/d; K = 2 mEq/kg/d
			*Deficit = [desired - measured mEq/L] x fD x wt (kg)
	Deficit = [desired - measured mEq/L] x fD x wt (kg)		*fD (distribution factor) Na = 0.6, K = 0.6, Cl = 0.2-0.3, HCO3 = 0.5
			*(Maintenance + deficit)/daily volume = concentration of electrolyte in fluid to be given
	fD (distribution factor) Na = 0.6, K = 0.6, Cl = 0.2-0.3, HCO3 = 0.5		*4mL/kg of H2O lost, ups Na by 1meq
			*Normal saline (NS) = 154 mEq Na/L, 1/2 NS = 77 mEq/L, 1/4NS = 38 mEq/L
	(Maintenance + deficit)/daily volume = concentration of electrolyte in fluid to be given

	4mL/kg of H2O lost, ups Na by 1meq

	NS = 154 mEq Na/L, 1/2 NS = 77 mEq/L, 1/4NS = 38 mEq/L

	==See Also==		==See Also==

Rossdonaldson1 at 17:42, 30 November 2022

2022-11-30T17:42:11Z

← Revisión anterior		Revisión del 17:42 30 nov 2022
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	***1/4 of extracellular is vascular		***1/4 of extracellular is vascular

	==Maintenance==		==Maintenance Fluids==
			===Adult===
	*Calculation 1		*Calculation 1
	**100 cc/kg/d (4cc/kg/h) 1st 10 kg		**100 cc/kg/d (4cc/kg/h) 1st 10 kg

Rossdonaldson1 at 17:41, 30 November 2022

2022-11-30T17:41:33Z

← Revisión anterior		Revisión del 17:41 30 nov 2022
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	''See [[critical care quick reference]] for bolus doses by weight.''		''See [[critical care quick reference]] for bolus doses by weight.''

	==~~TBW~~==		==Background==
	TBW = 0.6 x weight (kg); 2/3 ~~intra,~~ 1/3 extracellular. 1/4 of extracellular is vascular.		*Total Body Water (TBW) = 0.6 x weight (kg)
			**Of which, 2/3 is intracellular and 1/3 extracellular
			***1/4 of extracellular is vascular

	==Maintenance==		==Maintenance==
Línea 28:		Línea 30:
	===Pediatric===		===Pediatric===
	*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution		*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
	**Isotonic fluids are now preferred ~~per~~ 2019 AAP update. <ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>		**Isotonic fluids are now preferred (2019 AAP update)<ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

	==Electrolytes==		==Electrolytes==

Rossdonaldson1: /* Pediatric */

2022-11-16T20:59:01Z

Pediatric

← Revisión anterior		Revisión del 20:59 16 nov 2022
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	===Pediatric===		===Pediatric===
	*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution		*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
	Isotonic fluids are now preferred per 2019 AAP update. <ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>		**Isotonic fluids are now preferred per 2019 AAP update. <ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

	==Electrolytes==		==Electrolytes==

Zbuchwald: /* See Also */

2022-11-01T09:13:04Z

Zbuchwald: /* Maintenance */

2022-11-01T08:37:58Z

Maintenance

← Revisión anterior		Revisión del 08:37 1 nov 2022
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	===Pediatric===		===Pediatric===
	*Maintenance fluid default: D5-~~NS plus 20 mEq~~ of ~~potassium.~~ Isotonic fluids now preferred per 2019 AAP update		*Maintenance fluid default: D5-LR + 20meq/L of KCl or other isotonic solution
			Isotonic fluids are now preferred per 2019 AAP update. <ref> Leonard G. Feld, Daniel R. Neuspiel, Byron A. Foster, Michael G. Leu, Matthew D. Garber, Kelly Austin, Rajit K. Basu, Edward E. Conway, James J. Fehr, Clare Hawkins, Ron L. Kaplan, Echo V. Rowe, Muhammad Waseem, Michael L. Moritz, SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY; Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics December 2018; 142 (6): e20183083. 10.1542/peds.2018-3083 </ref>

	==Electrolytes==		==Electrolytes==

Tarheelemt: /* Pediatric */

2022-08-25T10:50:35Z

Pediatric

← Revisión anterior		Revisión del 10:50 25 ago 2022
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	===Pediatric===		===Pediatric===
	*Maintenance fluid default: D5-~~1/2NS~~ plus 20 mEq of potassium		*Maintenance fluid default: D5-NS plus 20 mEq of potassium. Isotonic fluids now preferred per 2019 AAP update

	==Electrolytes==		==Electrolytes==

← Revisión anterior		Revisión del 09:13 1 nov 2022
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	*[[Intravenous Fluids (Main)]]		*[[Intravenous Fluids (Main)]]
	*[[Critical care quick reference]]		*[[Critical care quick reference]]

			== External links ==
			* [https://www.google.com/search?q=mdcalc+maintenance+fluids&rlz=1C1VDKB_enUS990US990&oq=mdcalc+main&aqs=chrome.0.0i512j69i57j0i390.3894j0j7&sourceid=chrome&ie=UTF-8/ MDCalc maintenance fluids]

	==References==		==References==