Shared Flashcard Set

Details

Fluid Therapy
VM 609 Midterm
17
Veterinary Medicine
Professional
09/19/2012

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Crystalloids
Definition
75-85% leaves vessels in 1 hour
great for dehydration
bad for hypovolemia
can potentially cause edema
Term
0.9% NaCl
Definition
very acidic replacement fluid
high in NaCl
low in K+
isoosomolar
good for bolusing, hyperkalemia
bad for metabolic acidosis
Term
LRS
Definition
acidic replacement fluid
lactate acts as a buffer by being metabolized by liver into bicarbonate
slightly hyponatremic
bad to use with blood products (precipitates)
bad for hyperkalemia
need functional liver for metabolism
Term
Normosol-R
Definition
slightly acidic replacement fluid
low in Cl
acetate may cause hypotension if bolused rapidly
gluconate and acetate act as buffers
Term
Replacement Fluids
Definition
safe to bolus
low in K+
high in Na
may contain buffers
Term
Maintenance Fluids
Definition
can be hypotonic
add dextrose to fix hypotonicitiy
tend to be lower in sodium to avoid hypernatremia
Term
0.45% NaCl
Definition
very acidic maintenance fluid
no K+ in it
very low osmolality
Term
0.45% NaCl + 2.5% dextrose
Definition
very acidic maintenance fluid
isoosmolar
Term
5% Dextrose in free water
Definition
maintenance fluid
hypoosmolar
essentially giving free water once dextrose is metabolized
Term
Hypertonic Saline
Definition
causes rapid movement of water into vascular space
need to give very slow
Term
Fluid Additives
Definition
B vitamins
potassium
Term
Colloids
Definition
water based with large molecules
retains fluid within vasculature or facilitate movement into vasculature
number of molecules determines colloid osmotic pressure
negative charged protein attracts Na+ which attracts water
Term
Plasma
Definition
natural colloid
supplies coagulation factors, albumin, antithrombin
can't be used to replace albumin because need to give too much
Term
Hetastarch
Definition
artificial colloid
contains plant starch
can see coagulopathies with high doses
Term
Dextrans
Definition
artificial colloid
contains bacterial fermentation of sucrose
can see coagulopathies with high doses
Term
Gelatins
Definition
artificial colloid
from mammalian collagen
Term
Oxyglobin
Definition
oxygen carrying colloid
no warming, bloodtyping, or crossmatching
no immune reactions
used for IMHA, Zinc toxicosis, exotic breeds of cats who may be type B
Supporting users have an ad free experience!