Fluid resuscitation: Difference between revisions
imported>Howard C. Berkowitz No edit summary |
mNo edit summary |
||
| (One intermediate revision by one other user not shown) | |||
| Line 4: | Line 4: | ||
[[Image:Fluids V1.png|thumb|right|500px|Basic compartments]] | [[Image:Fluids V1.png|thumb|right|500px|Basic compartments]] | ||
In the simplest case of fluid resuscitation, the basic choice is between '''crystalloids''' or '''colloids'''. Crystalloid solutions contain only low molecular weight substances, where colloids are based on proteins or polymers of high molecular weight. The first clinical difference between the two is the physiological fluid compartment they expand. Crystalloids, the major component of which is sodium ion, primarily expand the interstitial fluid (i.e., between the cells). Colloids expand the volume of plasma circulating in the blood vessels. | In the simplest case of fluid resuscitation, the basic choice is between '''crystalloids''' or '''colloids'''. Crystalloid solutions contain only low molecular weight substances, where colloids are based on proteins or polymers of high molecular weight. The first clinical difference between the two is the physiological fluid compartment they expand. Crystalloids, the major component of which is sodium ion, primarily expand the interstitial fluid (i.e., between the cells). Colloids expand the volume of plasma circulating in the blood vessels. | ||
{| class="wikitable" | {| class="wikitable" style="margin: 1em auto 1em auto;" | ||
|+ | |||
|- | |- | ||
! width=50%|Representative crystalloids | ! width=50%|Representative crystalloids | ||
| Line 20: | Line 22: | ||
| | | | ||
| [[Dextran 70]] | | [[Dextran 70]] | ||
|} | |}[[Category:Suggestion Bot Tag]] | ||
Latest revision as of 11:04, 17 August 2024
- See also: Human fluid metabolism
Fluid resuscitation deals with the parenteral administration of fluids to patients, to correct actual, or effective, losses of body fluid. The focus in fluid replacement is on the fluid volume and the osmotic pressure exerted. A given injected liquid, however, may also replace electrolytes (medical) or coagulation factors. Usually, blood cells are needed to replace oxygen-carrying capacity, but there are some cell-free oxygen transport agents, which are administered in some of the fluids mentioned here, again having dual effects, in this case on oxygenation and fluid volume.
In the simplest case of fluid resuscitation, the basic choice is between crystalloids or colloids. Crystalloid solutions contain only low molecular weight substances, where colloids are based on proteins or polymers of high molecular weight. The first clinical difference between the two is the physiological fluid compartment they expand. Crystalloids, the major component of which is sodium ion, primarily expand the interstitial fluid (i.e., between the cells). Colloids expand the volume of plasma circulating in the blood vessels.
| Representative crystalloids | Representative colloids |
|---|---|
| Normal saline | Human blood plasma |
| Lactated Ringer's injection | Albumin injection |
| Hydroxyethyl starch | |
| Dextran 70 |