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This Concept Map, created with IHMC CmapTools, has information related to: Clinical Pharmacology Fluid Therapy, Which Fluids Colloids, Fluid therapy for non cardiogenic SHOCK Simply adding 0 to body weight in pounds results in a conservative shock bolus, y grams/13= z Liters ???? Replace ½ of this volume over 1-2 hours and re-evaluate, How much? Hypertonic Saline 4-5ml/kg at a rate of 1ml/kg/min, Which Fluids Crystalloids, 1 gram Baking soda = 12 mEQ Bicarb ans for (1)/ 12 = y grams (to correct acidosis) Isotonic Sodium Bicarbonate is 1.3%, What is Fluid Therapy must determine Route rate, maintenance requirement for a dairy cow is 60 g of glucose/h 500-mL bottle of 50% dextrose (contains 250 g dextrose) every 4 to 6 hours (OVER 10 MINUTES), Replacements are calculated based on the level of dehydration 50ml/kg/24hr, or 2ml/kg/hr. encorperated to determine Replacements are calculated based on the level of dehydration Replacement = % Dehydration x Bodyweight (kg) x 10?, Is fluid needed? YES, Why Fluids used in treatment of Therapeutic Targets, % dehydration X body weight Kg = Volume to be replaced at 10-20ml/kg/hr (4-8L/hr) 2. Satisfy maintenance needs 50-60 ml/Kg per day at 2-4ml/kg/hr, Simply adding 0 to body weight in pounds results in a conservative shock bolus equating to a 22 mL/kg bolus (eg, 70 lb + 0 = 700 mL), Replacements are calculated based on the level of dehydration 50ml/kg/24hr, or 2ml/kg/hr. encorperated to determine Ongoing losses are calculated based on a predicted fluid amount lost by a patient within a 24 hour period Ongoing losses = Amount per loss (ml/kg) x Bodyweight (kg) x No. of losses, Is fluid needed? NO, IV is slowed until a second arrhythmia is detected Remainder is placed SQ over the lateral thorax, 100 mL of the 25% epsom salt solution slow intravenous administration (for at least 5 minutes), 1) Replacement 2) Maintainance 3) Ongoing losses http://en.wikivet.net/Principles_of_Fluid_Therapy ongoing losses Ongoing losses are calculated based on a predicted fluid amount lost by a patient within a 24 hour period Ongoing losses = Amount per loss (ml/kg) x Bodyweight (kg) x No. of losses, How much? Blood Transfusion Amt of blood req estimated at 2ml/Kg (raises PCV by 1%) and administrated at a rate of 20ml/kg/h., How much? Hypocalcemia Administer 1 mL/kg BW