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Index
- Existing Deficit
- History is not main source, examination helps.
BEWARE urea and electrolytes may be normal
- Maintenance
- basal requirements, maintenance fluid requirements
consists of 4 mls/kg for the first 10 kg of bodyweight, 2 mls/kg for the
second and 1 ml/kg for each additional kg
- Ongoing Loss
- e.g. NG losses, vomiting and diarrhoea, drains,
bleeding, 3rd space losses in bowel obstruction, increase requirements in
pyrexia and tachypnoea etc NG losses replace with normal saline, below
duodenum with Hartman's
Subsections
Adrian P. Ireland