Patient Name / ID
 
Species  
 
Weight (kilograms)
 
  
 
   Emergency Phase

  For patients needing volume   resuscitation

  1

Consider isotonic or hypertonic crystalloids, colloids and Oxyglobin ™

  2

A loarge bore or multiple intravenous catheters may be necessary.

  3

Be aware that aggressive fluid therapy can worsen the clinical condition if there is ongoing haemorrhage

  4

Give “shock rates” for up to 30 minutes. Reassess the patient every 5 minutes and move to the replacement phase when the patient's condition improves.

   Replacement Phase

  1

Consider isotonic or hypertonic crystalloids, colloids or blood products.

  2

Assess percentage dehydration (5, 10 or 15%) and estimate ongoing losses.

  3

The replacement phase lasts 24 hours, then move to the maintenance phase. Give the following: replacement rate + maintenance rate + ongoing losses.


   Maintenance Phase

  1

Consider isotonic or hypertonic crystalloids, colloids.

  2 Be aware that plasma electrolyte derangements are common

  3

When diuresis is required the diuresis rate should be substituted for the maintenance rate.

  4

Give the following maintenance rate + ongoing losses. Compare “fluid ins” with “fluid outs” and adjust the rate of administration. Stop intravenous fluid therapy when the patient is able to meet its need by oral intake.