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Maintenance Fluids & Calculations - Fluid Management
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- Опубліковано 15 сер 2024
- Maintenance Fluids & Calculations 📝 Free Quiz: adv.icu/31vVI9V (💲Weekly Prizes)
Is this lesson we are talking maintenance fluids. I talk about some of the situations in which we would be considering maintenance fluids for our patients and a quick review of the basic regimen that we use. From there I talk about a couple different calculations for determining your patient's maintenance fluid needs.
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
0:00 Intro
3:14 Replacement of Fluid Loss
4:40 Therapy
6:38 Calculations
6:46 4-2-1 Rule
9:31 100-50-20 Rule
11:45 Things to keep in mind
12:51 Wrap up
#ICUAdvantage #Fluids #MaintenanceFluid
Thank you so much for this. I was feeling so overwhelmed by the amount of information we got at the start of our Intensive and Specialized Care module, that I would be so lost whenever they would talk about fluid management in ICU patients. I am glad I got to watch this video.
I have recently discovered this channel amd I am totally impressed by your work, thanks alot.
Thank you for this video! It is very informative. As a side note, for fluid resuscitation in burn patients, the Rule of Tens is a better equation than the Parkland Formula for inpatient management. for pts 40-80kg: TBSA% x 10mL/hr = starting rate; for pts >80kg, 100mLs is added for every 10kg over the 80kg. The rate is then adjusted hourly by 20-25% based on the target urinary output of 30-50mL. (A higher target of 50-70mL is used for electrical injuries.) The Modified Brooks Formula is also readily used in burn patients. If you really want to get into the weeds, look up "Ivy Index" on why we would consider these alternative formulas.
Thanks for sharing! Not a ton of first hand experience managing burns. I appreciate the info and places to learn more. Thanks Stephanie!
Hi! Great channel. Could you do a video on different types of anticoagulants and it’s effect (ie Warfarin and Vit K)
Very great video. Now I understand the fluid maintenance calculation. The only mistake you did is when using 100:50:20 rule for a patient weighs 75kg the fluid needed for a day is 2600 ml and not 2700 ml. thanks again for your marvelous video
Correct and that changes the fluid per hour to 108 ml.
JUST NOW I'M ATTEMPT QUIZ CALCULATIONS OF FLUIDS
GOT 80% PASSED
Thank you so much for another great video))
(Sorry, but it’ll be 2600, not 2700, - time 11:25)
Thank you! And haha yup! Apparently I failed at simple math that day!🤦
@@ICUAdvantage that happens 😄
We got to the core idea, thankyou for that ❤️
Thankyou so much for it.
I have started my residency in Anesthesia, ev one was talking about this 4:2:1 rule, as i watch your videos regularly i was expecting that you might have covered this topic, & here it goes 🙌🏻
Thankyou for the great work 🙌🏻
I noticed this to!🤗
Great explanation thank you Sir
you don't have idea how this video saved my day
Oh wow! I'm genuinely curious now!
This is so good!!! Love the explanation and keep doing what you do!
That was a great video. I definitely understand it a lot better than I did before. Much appreciated!
Great to hear this! Appreciate that!
Exceptional work. Thank you
You are my new Professor 🌟!!!!!!
How to calculate the bolus fluid?
Thank you!! Helps a lot!!
100 50 20 can be used in paediatrics as well
Thanks alot
Thank you for the refresher
You're welcome
Thanks so much for awesome videos and information! I’ve been waiting for this Fluid/electrolyte series from you, and I knew it would be great! Question: I work in Peds, but we do have adult size patients/or heavy patients, and we typically cap their Maintenance Fluids at 100-120ml/h, even if the 4/2/1 calculation suggests more than that. Is there a cap for adults? I know you mentioned we can use their IBW, but I’m just curious if there’s a cap when they reach a certain weight. Thanks!!
Thank you so much for your information ❤🥰
Appreciated…very nicely and easily explained
Thank you!
Thanks
You're welcome.
How do we calculate Bolus doses in cases of shock or hypovolemia ?
Great video dr. Can you add some bibliographic referentes Sherlock i could read?
Thank you
Talking about fluid manage ment in burn
Thank you so much! This series has been really helpful. I have never really understood fluids before this
Awesome! Really glad it is helpful for you.
this was so wholesome thanks!
Glad you liked it!
thank you this really helped me
Glad it helped!
Please I need more videos it was interesting
Thanks very informative.
Glad to hear it Marietta!
Thank You for doing this video.🌟🌟
Absolutely my pleasure!
Thanks a lot!
You're welcome!
Many thanks dr
Thank you, although not a doc 😊
Great channel. THANK YOU!!!!
Wow, thank you so much Susan! 😊 Happy to be able to help!
@@ICUAdvantage I’m a nurse at the ICU since 8 months now and your channel helps me a lot! 😍
@@Susan__g so awesome! Congrats on the new ICU position by the way. How exciting. It really means to world to me that these lessons are helpful for you and others. I really appreciate you taking the time to let me know. ❤️ I’m always happy to help when I can. Feel free to send any questions or even just updates on how things are going. You can find my email on the main UA-cam page about section. Wish you all the best! 😊
@@ICUAdvantage thank you so much! I really appreciate it 😍
Thanks it was so helpful
Glad to hear!
So useful, plz keep on 👍🏻👍🏻👍🏻
Awesome and I def will!
Thanks for sharing. I have a question. According to the regimen, do you worry about the vasculitis due to high osmolality of using D5S only? In our hospital, we usually use 5%dextrose+1/2normal saline. What's your opinion? Thank you very much.
I personally have not seen any issues with it.
HI! Thank you for this easy to understand video :) but can I ask if this calculations also apply to Dengue patients? Thanks!
how do you know when to switch from dextrose to normal saline?
Thanks..
You're welcome!
Changing iv fluid to n/s when there is nutrition y mean NGT feeding right ? or what
Great. Video hw abt how to calculate drips?
Let me think about that one and possibly add it to the todo list.
You are the man
Haha thanks Jacob!
Can you do a full head to toe assessment, and how to write end of shift nurse progress notes
I'll add to the todo list!
Nice class thank you sir i am from india.( U.P)
Very cool! Glad you liked it!
@@ICUAdvantage thank you changing the language in hindi vidio lecture please sir 😃
@@ICUAdvantage where du you live
@@dr.alok.gangwar3268 I’m in the US
For the 75 kg pt could we also do: 10x 4 = 40
20 x 2 = 40
45 x 1 = 45
Total: 125 ml/hr
Even if maintenance rate is different?
Have you found any answers? It's my question too.
What software do you use to makes this vids?
As someone aspiring for ICU this channel is really great to listen to to re-inforce and learn on key points. Thank you!
Quick question, how do you typically calculate ideal body weight for a bedbound patient in ICU?
Awesome to hear David! Thanks for being a part of the channel!
And good question. It depends which formula you use, but essentially you take whether they are male or female and use their height. Its then a simple calculation (or lookup table) to determine what the IBW is.
@@ICUAdvantage Thanks a heap for getting back to me. Is this is typically done with a simple measuring tape?
@@TeacupSO Yeah if you couldn't get it from them or family. That would work. Or estimation in a moments need.
Hmm, in my unit (cardiac and renal) we normally just give 0.5ml/ph per kg
I'll have to ask the docs
Remember certain populations will have limits or specific needs. Cardiac populations are ones that we want to be very conservative with fluids, so that makes complete sense
Comment for youtube algorithm :)
How come Eddie sounds soooooo Dreamy?!?
Haha, maybe too much wine?!? 😂😂😂 j/k, but glad someone likes the voice. I certainly am not a fan! lol
@@ICUAdvantage No EtOH on board when I said that bro. lol. Genuine comment 😁We're our own toughest critics, I don't like hearing myself either
Calculations don't start until 6:45
Adding 40 to the weight in kg works for anyone 20kg and over.
Yup!
the sound is not good I am quite disappointed
What do you mean? I haven't had anyone else say anything...
This font is not appropriate for this video. Not read properly
My handwriting?
@@ICUAdvantage writing should wide and clear . Content is good . I can't read properly.
Thank you