icu lecture resuscitation fluid

• related: ICU
• tags: #icu

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• NS high Na and Cl and very acidic

NS

• 1L: 275 cc to plasma and 825 to interstitium
• suppresses RAAS and leads to sodium retention. Decrease renal perfusion with chloride mediated vasoconstriction

LR

Plasma Lyte

Albumin

• 5% is hypotonic. Avoid in head trauma patients. Can lead to cerebral edema
• 25% is hypertonic

Volume Status

CVP

• surrogate of LV filling
• measure of pressure, not volume

PA Catheter

Thermodilution

• gives end diastolic volume

LV end diastolic area

• Mean LV is volume depleted. Could be overall low volume or RV heart failure

Pulse Pressure Variation

• height of A line tracing

Stroke volume variation

• Vigileo

Passive leg raise

• evaluate with pocus, a line