Intraoperative Fluid Calculation-Maintenance Fluids; Calculations - Fluid Management in Urdu Hindi
During surgery (intraoperative), maintaining proper fluid balance in the body is crucial for patient safety. This involves calculating and providing the right amount of fluids throughout the procedure. Here's a breakdown of the key aspects:
*1. Intraoperative Fluid Calculation:*
This refers to determining the total amount of fluids a patient needs during surgery. It considers several factors:
* *Baseline Needs (Maintenance Fluids):* These are the fluids required to maintain basic body functions like urination, breathing, and digestion.
* *Estimated Blood Loss:* Blood loss during surgery can significantly impact fluid needs.
* * insensible Losses:* These are fluids lost through sweating and breathing, even without noticing.
* *Type of Surgery:* The extent and duration of surgery influence fluid requirements.
*2. Maintenance Fluids:*
These are the fluids needed to replace daily water and electrolyte losses. Different formulas exist for calculating maintenance fluids, but a common one, especially for adults, is the **"4-2-1 Rule"**:
* For the first 10 kg of body weight: 4 mL/kg/hour
* For the next 10 kg (11-20 kg): 2 mL/kg/hour
* For any weight above 20 kg: 1 mL/kg/hour
*Here's an example:*
* A patient weighs 70 kg.
* Using the 4-2-1 rule:
* First 10 kg: 4 mL/kg/hour * 10 kg = 40 mL/hour
* Next 10 kg: 2 mL/kg/hour * 10 kg = 20 mL/hour
* Remaining 50 kg: 1 mL/kg/hour * 50 kg = 50 mL/hour
* Total maintenance fluids per hour: 40 mL/hour + 20 mL/hour + 50 mL/hour = 110 mL/hour
*3. Calculations:*
Once you have the maintenance fluids and estimated blood loss, you can calculate the total fluid requirement. This may involve additional formulas or specific protocols used in your healthcare facility.
📝 Key Points:
Learn how to calculate fluid needs during surgery.
Explore the different types of maintenance fluids.
Understand the importance of individualized patient care.
Discover practical strategies for fluid management.
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5 сен 2024