Maintenance fluids

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

Fluids

Cite this article as: Anders, M. Fluids, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3689Anion 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…

Chest drains

Cite this article as: Anders, M. Chest drains, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3699If 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,…

Blood products

Cite this article as: Anders, M. Blood products, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3678Pump 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…

Anticoagulation

Cite this article as: Anders, M. Anticoagulation, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3723UNFRACTIONATED 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…

Weaning opioids and steroids

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