Fluids

Question 1

maintenance fluids requirements

Answer 1

25-30ml/kg/day water
1mmol/kg/day K, Na + Cl
50-100g/day glucose

Question 2

fluids in a patient with HF - how to approach?

Answer 2

give less fluid to avoid pulmonary oedema

Question 3

fluid challenge prescription (no HF)

Answer 3

500ml 0.9% normal saline STAT (over <15min)

reassess to decide whether to prescribe another

Question 4

fluid challenge prescription (HF pt)

Answer 4

250ml 0.9% normal saline STAT (over <15min)

Question 5

maintenance fluids in children - how much?

Answer 5

per day:
100ml/kg for first 10kg (= 1000ml)
50ml/kg for the next 10kg (= 500ml)
20ml/kg for every subsequent kg

Question 6

what is the commonest viral infection following solid organ transplant?

Answer 6

cytomegalovirus