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By; Engie Abd El Moneim

In 24 Hrs

2500 mL

1000 mL Food

1500 mL Water

Normal Daily loss=1500 ml Urine 200 ml Stool 800 ml Insensible .

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IV Fluids are Given if sufficient fluids can¶t be given orally 100 mmol Na 2500 ml fluid / 24 hrs 70 mmol K .

9% Saline 2L 1L + K 20 mmol / Litre of fluid Every 30 hrs. .5% Dextrose 0.

.B  Don¶t forget to calculate other losses like fever . drains. diarrhea.Subcutaneous Central Venour Line : all cannulas MRSA infection femoral > Jugular > Subclavian > Peripheral  N.etc .

Total Body Fluid of a 70 Kg Man = 42 L = 60 % of body fluid 2/3 (28 L) Intracellular 1/3 (14 L) Extracellular 1/3 (5 L) Intravascul ar (Blood) .

4. . 2.Haemaccecl) Hypertonic Dextrose (10% or 50%) Dextrose-Saline (1/5 Normal Saline) Hartmann¶s Solution 1. 6. Different types of IV fluid will equilibrate with the different fluid compartments depending on the osmotic content of the given fluid  Types Of IV Fluids: 5% Dextrose (Glucose) 0. 5.9 % Saline (Normal Saline) Colloids (Gelofusine. 3.

  . Isotonic Small amount of Glucose (50 g/L) (little energy) Liver rapidly metabolizes all the glucose leaving only Water which rapidly equilibrates throughout all fluid compartments.

 Useless for fluid Resuscitation(because only 1/9 will remain in the IV space) But suitable for Maintaining Hydration.  .

Excess 5 % Dextrose Fluid Overload Hyponatramia .

Approximately same Na content = Plasma = 150 mmol/L Isotonic .

Takes longer time to Reach Intracellular Comp.Goes rapidly to Extracellular Comp. .

so Maintain Hydration . Suitable for Fluid Resuscitation (EC Comp.) + 1/3 of it IC comp.

. Hypertonic Saline  Hypotonic Saline For Specialist Use Only.

 High Osmotic Content = Plasma Stay in Intravascular Comp Longer than other fluids So Fluid Resuscitation but not General Hydration   .

 Expensive  Anaphylactic Reactions .

9 Saline .Practically We use a combination of Colloid 0.

 . Treatment of Hypoglycemia Be careful Irritant for veins.9 % Saline after use.   Infusion sites should be inspected regularly Flushed with 0.

18 % Saline Isotonic It contains . 30 mmol/L of Na 222 mmol/L 4% Glucose   . 1/5 Normal Saline = 0.

 This amount of Na is roughly equals to the amount needed for normal fluid maintenance/10 hours for adults  And now used in Peds. .

9 % Saline . . considered as Physiological.Na Cl Lactate K HCO3 Ca 131 111 28 5 29 Mmol Mmol Mmol Mmol Mmol 2 ml/L of fluid Alternative to 0.

Fluid Resuscitation Maintain Hydration Normal Saline Colloids Hypoglycemia Dextrose Normal Saline Hypertonic Dextrose .

9% Saline 2L 1L + K 20 mmol / Litre of fluid Every 30 hrs.5% Dextrose 0. .