Scribd
Upload
224 views4 pages

Fluid Calculation

A 20 kg male patient presented to the emergency department with hypovolemic shock. 600 ml of fluids were administered initially to stabilize the patient. The patient requires a total of 1400 ml of fluids to rehydrate fully. The fluids should be administered over 48 hours, with 176 ml given per hour for the first 6 hours, then 98 ml per hour for the next 18 hours, followed by 89 ml per hour.

Uploaded by

Sora rara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
224 views4 pages

Fluid Calculation

A 20 kg male patient presented to the emergency department with hypovolemic shock. 600 ml of fluids were administered initially to stabilize the patient. The patient requires a total of 1400 ml of fluids to rehydrate fully. The fluids should be administered over 48 hours, with 176 ml given per hour for the first 6 hours, then 98 ml per hour for the next 18 hours, followed by 89 ml per hour.

Uploaded by

Sora rara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

20 kg male pt present to the emergency department with hypovolemic

shock ,calculate uid required to stabilize this pateint and calculate the
maintenance and de cit .
fl
fi
Bolus ( Resuscitation )

20kg x 20ml= 400 ml given within 5-10 min

Blood pressure not yet stable !

we can give from 10-20 ml so will give 10ml

20kg x 10 = 200ml

blood pressure stable

total bolus receive is 600 ml


Maintenance

10 x 4 = 40

10 x 2 = 20

Total=60 ml per hour


De cit

20kg x 100=2000ml and now we reduce the amount of uid that given in resuscitation so :

600ml - 2000ml = 1400 ml is the amount of uid that required to rehydrate the pateint .now how we give the 1400 ml ?

we have two rules

-First rule half the total 1400 ml =700ml given rst 6 hours so 700ml / 6 hours =116ml additional to the maintenance amount which is
60 ml so total 176 ml given each hour for rst 6 hours only and now we still have 700 ml and we still have 18 hours

so 700 / 18 hours =38 additional to the maintenance amount 60ml = 98ml given after the rst 6 hours

-second rule we divide 1400 ml by 48 hours then we add the result to the maintenance dose so

1400/48=29 + 60 = 89 hourly
fi
fi
fl
fi
fl
fi

You might also like