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Pediatric Maintenance Fluid Requirements & Math



Adult fluid requirement

This vulnerability is further enhanced if significant feeding is introduced at the same time as IV fluids withy the potential for inducing low phosphate, potassium or magnesium as part of the refeeding syndrome see Guidance of Refeeding syndrome in NICE CG32 — Nutrition Support in Adults. The convalescent phase of serious illness or injury is not only characterised by the return of anabolism but also by a returning capacity to excrete any excess sodium and water load that has been accumulated. However, in the presence of disease this may be greatly increased see Section 5. This will then need to be excreted but the ability to clear a solute load is limited even in health and may be further impaired during illness or injury. Algorithm 3: The recommendations are therefore based on the consensus opinion of the GDG members. Does my patient have existing fluid or electrolyte deficits or abnormal ongoing losses? These include any food and drinks, enteral tube provision and other IV therapies. Consideration of all questions above allows estimates of the total volume of IV fluid and amounts of electrolytes that should be given, before deciding on the best rate at which to administer the fluids. As noted above the impact of restricting fluids on length of stay is uncertain. Adult fluid requirement

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Adult fluid requirement



Adult fluid requirement



Adult fluid requirement



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5 thoughts on “Adult fluid requirement

  1. Their activity is controlled by pressure and osmotic sensors which result in changes in the secretion of hormones. These are the main organs for fluid and electrolyte regulation and excretion of waste products from metabolism, e. This makes them potentially vulnerable to fluid mismanagement, especially since malnutrition can also cause a decrease in cardiac reserve, a decrease in renal capacity to clear salt and water, and deficiencies of specific vitamins.

  2. Blood glucose monitoring should be part of assessments of patients receiving glucose containing fluids in general.

  3. The modest daily fluctuations in water and sodium intake cause small changes in plasma osmolality which trigger osmoreceptors. The studies included had post-operative patient samples abdominal surgery or abdominal vascular study with none found relating to medical patients. This vulnerability is further enhanced if significant feeding is introduced at the same time as IV fluids withy the potential for inducing low phosphate, potassium or magnesium as part of the refeeding syndrome see Guidance of Refeeding syndrome in NICE CG32 — Nutrition Support in Adults.

  4. The aim is to meet estimates of total fluid and electrolyte requirements. The normal daily requirements of sodium are only 70—mmol but one litre of normal saline contains mmol, so it is easy to give an excess. This can be important in some clinical situations.

  5. These lead to retention of sodium and water with loss of potassium. For details on prescribing for routine maintenance see section Intravenous fluid therapy for fluid resuscitation.

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