FLUIDTHERAPY

STEP 1: PERFUSION
If >40ml/kg dog; 30ml/kg cat CSx of Perfusion Deficits: End Point Resuscitation Variables:
WHAT: with no clinical improvement • Poor mentation
Correction of consider: • Reduced pulse amplitude VARIABLES: VALUE:
intravascular fluid • Cardiogenic shock: Jugular • Increased heart rate
deficit. Mentation Alert
pulses, heart murmur, • Pale mucous membranes
arrhythmia • Prolonged capillary HR (bpm) Dog: 90-140
HOW: • Obstructive shock: GDV, refill time Cat: 180
• 10ml/kg crystalloid pericardial effusion, tension • Reduced core body MM Pink
boluses, repeated while pneumothorax temperature CRT 1-2
reassessing clinical • Distributive shock:
Rectal Temp (°C) >37.5
signs of perfusion Anaphylaxis - trial
deficits and vasopressor therapy MAP (mmHg) 70-80
end-point resuscitation • Ongoing losses: Internal Systolic BP (mmHg) 100
variables. haemorrhage - consider Sp0 2 (%) >95
• Head trauma? Consider blood transfusion
Lactate (mmol/L) <2
Hypertonic saline 7%
at 3ml/kg slow IV. Base deficit (mEq/L) > -4

IV FLUID RATE = HYDRATION DEFICIT + MAINTENANCE REQ. + ONGOING LOSSES

STEP 2: REHYDRATION FLUID DEFICIT (L) = % DEHYDRATION X BWT (KG) / 100

WHAT:
Correction of interstitial fluid deficit. Step 2: Select degree of dehydration

HOW:
Correct 50% of the fluid deficit over the first 6 hours
then the remaining 50% over the next 18 hours.
FELINE
FLUID CALCULATION

STEP 3:
CHART

MAINTENANCE
WHAT:
Daily requirement to
meet metabolic needs.
HOW:
In addition to rehydration rates, based on:
Cats: 80 x BWT 0.75 = ml/day
Dogs: 132 x BWT 0.75 = ml/day
CANINE

STEP 4:
FLUID CALCULATION CHART

ONGOING LOSSES
WHAT:
Replacement of ongoing losses, for
example vomiting, diarrhoea, polyuria.
HOW:
Estimate or weigh losses
(1gm of liquid = 1ml of fluid)

EXAMPLE:
5kg cat, 5% dehydrated, 100mls diarrhoea per 24hrs
1. Correct perfusion deficit eg. 10ml/kg bolus
2. Hydration req for 5% dehydration = 250ml/24hrs
- First 6 hours = 21ml/hr
- Next 18 hours = 7ml/hr
3. Maintenance req for 5kg cat = 267ml/24hrs
- Rate per hour = 11ml/hr
4. Ongoing losses for 100ml of diarrhoea = 100ml/24hrs
- Rate per hour = 4ml/hr
Overall IV fluid rate:
- First 6 hours = 21 + 11 + 4 = 36ml/hr
- Next 18 hours = 7 + 11 + 4 = 22ml/hr
Step 3: Add maintenance requirement

STEP 5: REASSESSMENT Underwood 1 Lexington Rd, Underwood 3423 1888

Jindalee 34 Goggs Rd, Jindalee 3715 9999
Repeat clinical
Repeat clinical examsexams
and bodyand body
weights andweights and
appropriate appropriate
adjustments adjustments
to the fluid to the
rate are an essential fluid
part of rate are an essential
Tanawha part of
431 Tanawha every
Tourist Dr, Tanawha 5445 1333
fluid therapy
every fluid therapyplan. Repeat
plan. Repeat lab lab
teststests are to
are advised advised to monitor
monitor PCV/TP, PCV/TP,
electrolytes electrolytes
and acid/base changes.and acid/base changes.
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