For patients needing volume resuscitation
Consider isotonic or hypertonic crystalloids, colloids and Oxyglobin ™
A loarge bore or multiple intravenous catheters may be necessary.
Be aware that aggressive fluid therapy can worsen the clinical condition if there is ongoing haemorrhage
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.
Consider isotonic or hypertonic crystalloids, colloids or blood products.
Assess percentage dehydration (5, 10 or 15%) and estimate ongoing losses.
The replacement phase lasts 24 hours, then move to the maintenance phase. Give the following: replacement rate + maintenance rate + ongoing losses.
Consider isotonic or hypertonic crystalloids, colloids.
When diuresis is required the diuresis rate should be substituted for the maintenance rate.
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.