{"id":3523,"date":"2019-11-28T14:09:50","date_gmt":"2019-11-28T14:09:50","guid":{"rendered":"http:\/\/edren.org\/ren\/education\/textbook\/fluid-therapy\/fluid-case-2\/"},"modified":"2019-12-20T15:52:39","modified_gmt":"2019-12-20T15:52:39","slug":"fluid-case-2","status":"publish","type":"page","link":"https:\/\/edren.org\/ren\/education\/textbook\/fluids-and-electrolytes\/fluid-therapy\/fluid-case-2\/","title":{"rendered":"Fluid case 2"},"content":{"rendered":"

Use the principles described in Fluids basics<\/a> to approach this problem logically. Go back to those pages to look things up when necessary.<\/p>\n

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Three days after her admission, a 43 year old woman with diabetic ketoacidosis has a blood pressure of 88\/46 mmHg & pulse of 110 bpm. Her charts show that her urine output over the last 3 days was 26.5 litres, whilst her total intake was 18 litres.<\/span><\/p>\n

Questions:<\/span><\/strong><\/p>\n\n\n\n
1. How much fluid does she need to regain a normal blood pressure and make up her losses?<\/p>\n

2. What fluids would you use?<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

10<\/span> marks available.<\/span><\/strong> Read the hints, but write down your answer before clicking to read ours.<\/span><\/em><\/span><\/p>\n

Hints:<\/span><\/strong><\/p>\n

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<\/span>How to approach the first part of the question (click to expand\/collapse)<\/div>
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This is a more complex question but the principles are exactly the same.<\/p>\n

Assume that the blood glucose is OK after 3 days in hospital, though this may be an unsafe assumption, as the fluid balance has been screwed up so comprehensively.<\/p>\n

1. Add up the deficit<\/span><\/strong><\/p>\n