,
SENIOR ASSISTANT PROFESSOR,
DEPARTMENT OF MEDICINE
COIMBATORE MEDICAL COLLEGE AND HOSPITAL
COIMBATORE
INTRODUCTION
Many adult inpatients need IV therapy to prevent or
correct problems with their fluid and electrolyte status
Routine maintanence
Replacement
Redistribution
Reassessment
ASSESSING FLUID BALANCE
History:Ask about H/O vomiting ,diarrhoea,
fever,surgery,trauma,alcohol intake,bleeding,
thirst,drug intake
RR>20bpm
JVP falls
COLLOIDS:Albumin,dextran,Haemaccel,Hetastarch
OVERVIEW OF IV FLUIDS
5% dextrose
Indications-Diarrhoea,Vomiting,DKA,Hypercalcemia
of malignancy,Fluid challenge In Prerenal uraemia
Contraindications-Hepatic failure,Rena
failure,Metabolic acidosis
ISOLYTE M
Richest source of potassium,useful to treat
Hypokalemia
Indications-Diarrhoea,Bilious vomiting,UC