Assessing and Managing Fluid Therapy

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What is the recommended time frame to replace fluid deficit in a canine patient with hypovolaemia?

2-4 hours

12-24 hours

24-48 hours

6-8 hours (correct)

Which of the following is a marker of dehydration?

Increased urine output

Tacky mucous membranes (correct)

Increased heart rate

Decreased blood pressure

What is the recommended time frame to replace fluid deficit in a patient with dehydration?

12-24 hours (correct)

2-4 hours

6-8 hours

24-48 hours

What is the fluid deficit percentage in a patient with mild depression, slightly prolonged CRT, slightly increased heart rate, increased blood lactate concentration, and concentrated urine?

5-7% Signup and view all the answers

What is the fluid deficit percentage in a patient with depressed mental state, cold extremities, dry mucous membranes with a CRT >4 seconds, heart rate >100% above the normal reference range, increased blood lactate concentrations, increased creatinine concentrations, and unlikely to produce any urine?

12-15% Signup and view all the answers

What is the consequence of not calculating fluid deficit in practice?

Incorrect estimation of fluid requirement Signup and view all the answers

What is the consequence of dehydration in a patient?

Renal failure Signup and view all the answers

Which of the following is the recommended rate for restoring intravascular volume in a hypovolaemic patient during shock fluid therapy?

90ml/kg Signup and view all the answers

What is the recommended duration for giving fluid to a dehydrated patient to allow diffusion into intracellular and interstitial spaces?

12 - 24 hours Signup and view all the answers

What is the formula for estimating fluid deficit in a patient?

% fluid deficit * bodyweight Signup and view all the answers

What is the equivalent volume of 1 liter of hypertonic saline in terms of isotonic fluids?

3 - 5 liters Signup and view all the answers

In a horse with colic requiring surgery, what is the recommended approach to stabilizing the horse and improving intravascular volume prior to anesthesia with a fluid challenge approach?

Give 2 liters of hypertonic saline Signup and view all the answers

What is the recommended fluid challenge volume for a cat, sheep, or goat?

10ml/kg Signup and view all the answers

What is the recommended fluid challenge volume for a dog, horse, or pig?

20ml/kg Signup and view all the answers

In patients with strangulating lesions, why is time to surgery important?

To improve prognosis Signup and view all the answers

What is the recommended approach for administering fluids in large animal practice once the fluid deficit in liters is calculated?

Administer half as a bolus and replace the other half as maintenance over 6-8 hours Signup and view all the answers

What is the recommended duration for giving fluid to a dehydrated patient with a 5% deficit or less?

6 - 8 hours Signup and view all the answers

What are the quantitative markers used to measure hypovolaemia?

HR, CRT, PCV/TS, Lactate, Urine Output Signup and view all the answers

What are the markers used to assess dehydration?

Dec BW, Sunken eyes, Tacky MM, Inc skin tent Signup and view all the answers

What are the clinically detectable signs of fluid deficit of less than 5%?

Mild depression, Slightly prolonged CRT, Slightly increased heart rate, Increased blood lactate concentration, Creatinine concentration concentrated urine Signup and view all the answers

What are the clinically detectable signs of fluid deficit of 10%?

Depressed, May have cold extremities, Dry mucous membranes with a CRT >3 seconds, Heart rate >50% above the normal reference range, Increased blood lactate concentration, Increased creatinine concentrations, Small volume of very concentrated urine Signup and view all the answers

What are the clinically detectable signs of fluid deficit of 12-15%?

Depressed, Cold extremities, Dry mucous membranes with a CRT >4 seconds, Heart rates >100% above the normal reference range, Increased blood lactate concentrations, Increased creatinine concentrations, Unlikely to produce any urine Signup and view all the answers

What is the recommended approach for fluid therapy in a hypovolaemic patient during shock?

Give half of the calculated fluid deficit as a bolus and then replace the other half as maintenance over 6-8 hours. Signup and view all the answers

What is the recommended approach for fluid therapy in a dehydrated patient with a 5% deficit or less?

Give the fluid over 12-24 hours to allow diffusion from the intravascular space into the intracellular and interstitial spaces. Signup and view all the answers

How can the fluid deficit in liters be calculated?

Fluid deficit (in liters) = % fluid deficit \times bodyweight Signup and view all the answers

What is the recommended approach for fluid therapy in a horse with colic requiring surgery?

Stabilize the horse and improve intravascular volume prior to anesthesia by giving a fluid challenge of 10 liters of Hartmann's solution and reassessing, possibly followed by another 10 liters of Hartmann's solution. Signup and view all the answers

What is the equivalent volume of 1 liter of hypertonic saline in terms of isotonic fluids?

1 liter of hypertonic saline is equal to 3-5 liters of Hartmann's solution in the short term. Signup and view all the answers

Assessing and Managing Fluid Therapy

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Questions and Answers

What is the recommended time frame to replace fluid deficit in a canine patient with hypovolaemia?

Which of the following is a marker of dehydration?

What is the recommended time frame to replace fluid deficit in a patient with dehydration?

What is the fluid deficit percentage in a patient with mild depression, slightly prolonged CRT, slightly increased heart rate, increased blood lactate concentration, and concentrated urine?

What is the consequence of not calculating fluid deficit in practice?

What is the consequence of dehydration in a patient?

Which of the following is the recommended rate for restoring intravascular volume in a hypovolaemic patient during shock fluid therapy?

What is the recommended duration for giving fluid to a dehydrated patient to allow diffusion into intracellular and interstitial spaces?

What is the formula for estimating fluid deficit in a patient?

What is the equivalent volume of 1 liter of hypertonic saline in terms of isotonic fluids?

In a horse with colic requiring surgery, what is the recommended approach to stabilizing the horse and improving intravascular volume prior to anesthesia with a fluid challenge approach?

What is the recommended fluid challenge volume for a cat, sheep, or goat?

What is the recommended fluid challenge volume for a dog, horse, or pig?

In patients with strangulating lesions, why is time to surgery important?

What is the recommended approach for administering fluids in large animal practice once the fluid deficit in liters is calculated?

What is the recommended duration for giving fluid to a dehydrated patient with a 5% deficit or less?

What are the quantitative markers used to measure hypovolaemia?

What are the markers used to assess dehydration?

What are the clinically detectable signs of fluid deficit of less than 5%?

What are the clinically detectable signs of fluid deficit of 10%?

What are the clinically detectable signs of fluid deficit of 12-15%?

What is the recommended approach for fluid therapy in a hypovolaemic patient during shock?

What is the recommended approach for fluid therapy in a dehydrated patient with a 5% deficit or less?

How can the fluid deficit in liters be calculated?

What is the recommended approach for fluid therapy in a horse with colic requiring surgery?

What is the equivalent volume of 1 liter of hypertonic saline in terms of isotonic fluids?

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