IV infusion/transfusion Preop and Lab values for serum and IV solutions

pt hx, physical exam, labs

3 main ways to determine a pts intravascular volume status

alcohol use, GI issues/vomiting, current IV use either by presentation or through chart, dialysis

what is important during the pt history concerning fluids?

dehydration of mucous membranes, +resting HR, -BP, -UO, orthostatic HR and BP changes (BP compensation when pt stands)

what is important during physical exam regarding intravascular volume status?

indirectly gauge pts intravascular volume status

what is important during the lab evaluation regarding intravascular volume status

increasing Hgb and Hct due to lack of fluid, these values will decrease after fluid resuscitation

how may dehydrated pts Hgb and Hct present and what will happen when you fluid recuscitate?

135-145 mEq/L

what is normal range for plasma Na+

3.5-5.5 mEq/L

what is normal range for plasma K+?

8.4-10.6 mg/dL

what is normal range for plasma Ca2+

1.5-2.5 mg/dL

what is normal range for plasma Mg2+?

96-106 mEq/L

what is normal range for plasma Cl-?

22-26 mEq/L

what is normal range for plasma Bicarb?

0.02-0.2

what is normal range for plasma Acetate?

140 mEq/L

what is Plasma-Lyte A Na+?

1-2

what is normal range for plasma lactate?

275-295

what is normal range for plasma osmolarity?

5.0 mEq/L

what is Plasma-Lyte A K+?

3.0 mg/dL

what is Plasma-Lyte A Mg2+?

98 mEq/L

what is Plasma-Lyte A Cl-?

27

what is Plasma-Lyte A Acetate?

23

what is Plasma-Lyte A Gluconate?

294

what is Plasma-Lyte A osmolarity?

130

Lactated Ringer's Na+?

4.0

Lactated Ringer's K+?

2.7

Lactated Ringer's Ca2+?

109

Lactated Ringer's Cl-?

28

Lactated Ringer's Lactate?

273

Lactated Ringer's osmolarity

154

0.9% NaCl

154

0.9% Cl-

308

0.9% NaCl osmolarity