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    AES - FluidChart 2020

    Uploaded by

    Christian De Leon
    This document provides instructions for fluid therapy in cats and dogs in 4 steps: 1) Correct perfusion deficits with crystalloid boluses and assess response variables. Consider shock causes and treatments. 2) Correct interstitial fluid deficit over 24 hours, with 50% in first 6 hours and 50% in next 18 hours. Calculate deficit from weight and dehydration percentage. 3) Provide daily maintenance fluid based on weight. Reassess clinical signs, weights and fluid rates regularly to adjust therapy. Monitor lab values.

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    AES - FluidChart 2020

    Uploaded by

    Christian De Leon
    2K views1 page
    This document provides instructions for fluid therapy in cats and dogs in 4 steps: 1) Correct perfusion deficits with crystalloid boluses and assess response variables. Consider shock causes and treatments. 2) Correct interstitial fluid deficit over 24 hours, with 50% in first 6 hours and 50% in next 18 hours. Calculate deficit from weight and dehydration percentage. 3) Provide daily maintenance fluid based on weight. Reassess clinical signs, weights and fluid rates regularly to adjust therapy. Monitor lab values.

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    AES_FluidChart 2020

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    This document provides instructions for fluid therapy in cats and dogs in 4 steps: 1) Correct perfusion deficits with crystalloid boluses and assess response variables. Consider shock causes and treatments. 2) Correct interstitial fluid deficit over 24 hours, with 50% in first 6 hours and 50% in next 18 hours. Calculate deficit from weight and dehydration percentage. 3) Provide daily maintenance fluid based on weight. Reassess clinical signs, weights and fluid rates regularly to adjust therapy. Monitor lab values.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    AES - FluidChart 2020

    Uploaded by

    Christian De Leon
    This document provides instructions for fluid therapy in cats and dogs in 4 steps: 1) Correct perfusion deficits with crystalloid boluses and assess response variables. Consider shock causes and treatments. 2) Correct interstitial fluid deficit over 24 hours, with 50% in first 6 hours and 50% in next 18 hours. Calculate deficit from weight and dehydration percentage. 3) Provide daily maintenance fluid based on weight. Reassess clinical signs, weights and fluid rates regularly to adjust therapy. Monitor lab values.

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    © All Rights Reserved
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    Download as pdf or txt
    of 1

    FLUIDTHERAPY

    STEP 1: PERFUSION
    If >40ml/kg dog; 30ml/kg cat CSx of Perfusion Deficits: End Point Resuscitation Variables:
    WHAT: with no clinical improvement • Poor mentation
    Correction of consider: • Reduced pulse amplitude VARIABLES: VALUE:
    intravascular fluid • Cardiogenic shock: Jugular • Increased heart rate
    deficit. Mentation Alert
    pulses, heart murmur, • Pale mucous membranes
    arrhythmia • Prolonged capillary HR (bpm) Dog: 90-140
    HOW: • Obstructive shock: GDV, refill time Cat: 180
    • 10ml/kg crystalloid pericardial effusion, tension • Reduced core body MM Pink
    boluses, repeated while pneumothorax temperature CRT 1-2
    reassessing clinical • Distributive shock:
    Rectal Temp (°C) >37.5
    signs of perfusion Anaphylaxis - trial
    deficits and vasopressor therapy MAP (mmHg) 70-80
    end-point resuscitation • Ongoing losses: Internal Systolic BP (mmHg) 100
    variables. haemorrhage - consider Sp0 2 (%) >95
    • Head trauma? Consider blood transfusion
    Lactate (mmol/L) <2
    Hypertonic saline 7%
    at 3ml/kg slow IV. Base deficit (mEq/L) > -4

    IV FLUID RATE = HYDRATION DEFICIT + MAINTENANCE REQ. + ONGOING LOSSES

    STEP 2: REHYDRATION FLUID DEFICIT (L) = % DEHYDRATION X BWT (KG) / 100


    WHAT:
    Correction of interstitial fluid deficit. Step 2: Select degree of dehydration

    HOW:
    Correct 50% of the fluid deficit over the first 6 hours
    then the remaining 50% over the next 18 hours.
    FELINE
    FLUID CALCULATION

    STEP 3:
    CHART

    MAINTENANCE
    WHAT:
    Daily requirement to
    meet metabolic needs.
    HOW:
    In addition to rehydration rates, based on:
    Cats: 80 x BWT 0.75 = ml/day
    Dogs: 132 x BWT 0.75 = ml/day
    CANINE

    STEP 4:
    FLUID CALCULATION CHART

    ONGOING LOSSES
    WHAT:
    Replacement of ongoing losses, for
    example vomiting, diarrhoea, polyuria.
    HOW:
    Estimate or weigh losses
    (1gm of liquid = 1ml of fluid)

    EXAMPLE:
    5kg cat, 5% dehydrated, 100mls diarrhoea per 24hrs
    1. Correct perfusion deficit eg. 10ml/kg bolus
    2. Hydration req for 5% dehydration = 250ml/24hrs
    - First 6 hours = 21ml/hr
    - Next 18 hours = 7ml/hr
    3. Maintenance req for 5kg cat = 267ml/24hrs
    - Rate per hour = 11ml/hr
    4. Ongoing losses for 100ml of diarrhoea = 100ml/24hrs
    - Rate per hour = 4ml/hr
    Overall IV fluid rate:
    - First 6 hours = 21 + 11 + 4 = 36ml/hr
    - Next 18 hours = 7 + 11 + 4 = 22ml/hr
    Step 3: Add maintenance requirement

    STEP 5: REASSESSMENT Underwood 1 Lexington Rd, Underwood 3423 1888


    Jindalee 34 Goggs Rd, Jindalee 3715 9999
    Repeat clinical
    Repeat clinical examsexams
    and bodyand body
    weights andweights and
    appropriate appropriate
    adjustments adjustments
    to the fluid to the
    rate are an essential fluid
    part of rate are an essential
    Tanawha part of
    431 Tanawha every
    Tourist Dr, Tanawha 5445 1333
    fluid therapy
    every fluid therapyplan. Repeat
    plan. Repeat lab lab
    teststests are to
    are advised advised to monitor
    monitor PCV/TP, PCV/TP,
    electrolytes electrolytes
    and acid/base changes.and acid/base changes.
    Gold Coast 104 Eastlake St, Carrara 5559 1599

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