Cl¯= 308 mEq/1000ml) and it’s almost the same the concentration of sodium and chloride in the
C. glucose solution (5% , 15% , 50%).
we have different concentration of glucose solutions , and you give the concentration accordingto the needs of the body . e.g 50% glucose solution it contains 500 gm of glucose , and every 1gm of glucose gives you 4 calories (500 ×4 = 2000 calories) and the daily need of calories 1800calories
*Why we have to use fluids??
1. Maintenance: replaces normal ongoing losses2. Fluid Resuscitation: corrects any existing water and electrolyte deficits.
We measure the amount of fluids we need according to the body weight , for adults you need(30-50)ml\Kg \24H , for children for the first 10 kg 100ml\Kg\24h , for the second 10 kg youneed 50ml\Kg\24h and for more than 20 kg 25ml\kg\24h* If the patient have renal or heart disease (old age) you give him the minimum amount
. 30ml\Kg \24H
avoid over loading on the heart or kidney
, but if the patient is young andhealthy you may use 50 ml\Kg \24H and his body can tolerate this amount of fluids e.g muadal zoubi.For the quantity You replace the same amount that the patient has lost , and about the quality
it’s according to other electrolytes mainly sodium Na
How much sodium & potassium do your body need per day ?(2 mEq\kg\24h) and you need half the amount of potassium (1 mEq\kg\24h)e.g if you have a 70 kg healthy patient how much electrolytes and how much liters do you givehim/her ?*(30-50)ml\Kg \24H
70 ×45 = 3.0 L \24h*(2 mEq\kg\24h)
70×2 = 140 mEq\24h sodium , and 70 ×1 = 70 mEq\24h potassiumso the patient need 3L of fluids and 140 mEq Na daily , and as you know 1L of normal saline orlactated Ringer's contains (154 mEq) sodium, so you give the patient 1L of normal saline orlactated Ringer's and the other 2L you give the patient electrolytes-free solution (e.g distilled
water 5% sugar and it’s only for quantity replacement . )
How can we calculate the daily deficit of fluids?