Maintenance fluids

Cite this article as:
Anders, M. Maintenance fluids, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3901

Maintenance fluid [ml/hr] requirements for ≤10 kg: Wt / kg 3 5 7 9 10 Active 12 20 28 36 40 Inactive 6 10 14 18 20 Fever add 10 % for every 1 o Celsius Hypothermia deduct 12 % for every 1o Celsius 30 % post OP Cardiac Day 1 4 6 9 12 13 50 %…

Fluids

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Anders, M. Fluids, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3689

Anion gap = Na+ + K+ – (Cl– + HCO3–). normal 8-12 mEq/l. Total body water (TBW) = intracellular fluid (ICF) plus extracellular fluid (ECF). [Weight x 600 ml in adults (500 ml in female), Weight x 650 ml in paeds, Weight x 700 ml in neonates] ECF = intravascular fluid (plasma and lymph in the vessels) plus interstitial fluid (between…

Chest drains

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Anders, M. Chest drains, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3699

If losses >10 ml/kg/hr in a postoperative patient, notify surgeon immediately. In the first two hours, losses may be up to 5 ml/kg/hr, thereafter it should be less than 2 ml/kg/hr. If losses exceeds these levels, check ACT, aPTT, PT, fibrinogen, platelets and TEG, and transfuse accordingly. If significant losses continue, notify surgeons. Insertion of…

Blood products

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Anders, M. Blood products, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3678

Pump blood Pump blood is the blood remaining in the bypass circuit on the completion of bypass. It is a mixture of the patient’s own blood, other fluids and any bank blood used to prime the bypass circuit. Unfiltered pump blood has a low Hct and contains large amounts of heparin and inflammatory cytokines. The…

Anticoagulation

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Anders, M. Anticoagulation, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3723

UNFRACTIONATED HEPARIN (UFH) Indications: Low dose heparin infusions are used in the maintenance of central venous lines, arterial lines and the prevention and treatment of deep vein thromboses. Administration: Heparin can be administered by intravenous and subcutaneous routes. This protocol applies to the intravenous route only. Heparin is compatible with 5% dextrose, 0.9% NaCl and…

Weaning opioids and steroids

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Anders, M. Weaning opioids and steroids, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3890

Withdrawal from drugs (principally opioids) prolongs hospital admissions and causes morbidity! Gradual weaning of drug dosing aims to prevent the onset of withdrawal abstinence syndromes: regime one: 10% reduction in original dose per day weaning over 10 days or regime two: 20% reduction in original dose per day weaning over 5 days regime three: 20%…