Fluids

Question 1

What are the NICE reccommendations/requirements for maintenance fluids?

Answer 1

• 25-30ml/kg/day of water and
• approc 1mmol/kg/day potassium. sodium and chloride and
• approximately 50-100 g/day of glucose to limit starvation ketosis

So, for a 80kg patient, for a 24 hour period, this would translate to:

• 2 litres of water (25x80)
• 80mmol potassium (1 x80)

Question 2

re write this table

what are the specific points of note?

Answer 2

0. 9% saline:
   * if large volumes are used there is an increased risk of hypercholaemic metabolic acidosis

Hartmanns

• contains potassium and therefore should not be used in patients with hyperkalaemia