Maintenance Fluids & Calculations - Fluid Management

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Is this lesson we are talking maintenance fluids. I talk about some of the situations in which we would be considering maintenance fluids for our patients and a quick review of the basic regimen that we use. From there I talk about a couple different calculations for determining your patient's maintenance fluid needs.

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0:00 Intro
3:14 Replacement of Fluid Loss
4:40 Therapy
6:38 Calculations
6:46 4-2-1 Rule
9:31 100-50-20 Rule
11:45 Things to keep in mind
12:51 Wrap up

#ICUAdvantage #Fluids #MaintenanceFluid

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Комментарии

Thank you so much for this. I was feeling so overwhelmed by the amount of information we got at the start of our Intensive and Specialized Care module, that I would be so lost whenever they would talk about fluid management in ICU patients. I am glad I got to watch this video.

zolisankabinde

Thank you for this video! It is very informative. As a side note, for fluid resuscitation in burn patients, the Rule of Tens is a better equation than the Parkland Formula for inpatient management. for pts 40-80kg: TBSA% x 10mL/hr = starting rate; for pts >80kg, 100mLs is added for every 10kg over the 80kg. The rate is then adjusted hourly by 20-25% based on the target urinary output of 30-50mL. (A higher target of 50-70mL is used for electrical injuries.) The Modified Brooks Formula is also readily used in burn patients. If you really want to get into the weeds, look up "Ivy Index" on why we would consider these alternative formulas.

stephaniesmith

Very great video. Now I understand the fluid maintenance calculation. The only mistake you did is when using 100:50:20 rule for a patient weighs 75kg the fluid needed for a day is 2600 ml and not 2700 ml. thanks again for your marvelous video

mikegox

JUST NOW I'M ATTEMPT QUIZ CALCULATIONS OF FLUIDS
GOT 80% PASSED

vijay.chelliprasad

I have recently discovered this channel amd I am totally impressed by your work, thanks alot.

ammaribnyasir

Hi! Great channel. Could you do a video on different types of anticoagulants and it’s effect (ie Warfarin and Vit K)

susank

you don't have idea how this video saved my day

nadiary

Thank you so much for video. So easy to understand.

sashaikpoku

Thank you so much for another great video))

(Sorry, but it’ll be 2600, not 2700, - time 11:25)

kitpesec

Talking about fluid manage ment in burn

salimadamabdella

100 50 20 can be used in paediatrics as well

chenli

That was a great video. I definitely understand it a lot better than I did before. Much appreciated!

FlyyGuyyy

This is so good!!! Love the explanation and keep doing what you do!

anupamabogahawaththa

Thanks so much for awesome videos and information! I’ve been waiting for this Fluid/electrolyte series from you, and I knew it would be great! Question: I work in Peds, but we do have adult size patients/or heavy patients, and we typically cap their Maintenance Fluids at 100-120ml/h, even if the 4/2/1 calculation suggests more than that. Is there a cap for adults? I know you mentioned we can use their IBW, but I’m just curious if there’s a cap when they reach a certain weight. Thanks!!

daniuj