icu lecture resuscitation fluid
![](https://photos.thisispiggy.com/file/wikiFiles/20220829152054.png)
- 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
![](https://photos.thisispiggy.com/file/wikiFiles/20220829152553.png)
LR
![](https://photos.thisispiggy.com/file/wikiFiles/20220829152757.png)
Plasma Lyte
![](https://photos.thisispiggy.com/file/wikiFiles/20220829152905.png)
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
![](https://photos.thisispiggy.com/file/wikiFiles/20220829153958.png)
Thermodilution
![](https://photos.thisispiggy.com/file/wikiFiles/20220829154032.png)
- gives end diastolic volume
LV end diastolic area
![](https://photos.thisispiggy.com/file/wikiFiles/20220829154132.png)
- Mean LV is volume depleted. Could be overall low volume or RV heart failure
Pulse Pressure Variation
![](https://photos.thisispiggy.com/file/wikiFiles/20220829154231.png)
Stroke volume variation
![](https://photos.thisispiggy.com/file/wikiFiles/20220829154328.png)
Passive leg raise
![](https://photos.thisispiggy.com/file/wikiFiles/20220829154441.png)
- evaluate with pocus, a line
Backlinks
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ICU
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Medications
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ICU ID
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