- A sterile isotonic crystalloid solution
- Fluid replacement (volume expansion) for the treatment of shock, fluid loss, and cardiac arrest.
- Severe Pulmonary Oedema
- Adult patients with penetrating trauma, ectopic pregnancy or aortic aneurysm with hypotension and signs of impaired organ perfusion may benefit from permissive hypotension (systolic blood pressure of 70mmHg)
- Fluid Therapy for shock, DKA & Hyperosmolar Hyperglycaemic State: Initial fluid therapy is directed toward expansion of the intravascular, interstitial, and intercellular volume, all of which are reduced in hyperglycaemic crises and restoration of renal perfusion.
| kg | ||
| Mode: | ||
| Weight: | ||
IV Saline for Cardiac Arrest
IV Saline for Post ROSC
IV Saline for shock, DKA, HHS
IV Saline for burns
| Total Burn Surface Area (TBSA, %) | |
| Fluid administration (mL): | |
| 50% (mL) of total amount over the first 8 hours | |
| mL ( drops) per minute | |
| mL per hour | |
| 50% (mL) of total amount over next 16 hours | |
IV Saline for haemorrhage
- 20 drops per minute (20 drops = 1ml)
- 250ml boluses to a maximum total of 2000ml
- Small adult/elderly 250ml boluses up to maximum total of 1000ml
Paediatric:
- 10ml/kg over 5-10 minutes. Repeat once only
Adult:
- Infuse 250ml boluses maximum total 2000ml with reassessment between each infusion
Paediatric:
- Hypotensive paediatric patients should receive IV fluids; 10ml/kg (max. 250ml bolus) reassessment between each bolus (4x infusions maximum) to a total infusion not exceeding 1000ml
Adult / Paediatric:
- 20ml/kg bolus as a reversible cause of hypovolaemia
Newborn:
- 10ml/kg as a reversible cause of hypovolaemia
- Manage hypotension in Post-ROSC patients if BP is slow to rise:
- The patient is considered hypotensive if Systolic BP is:
- Adult: < 100mmHg
- Paediatric: < 80mmHg
- The patient is considered hypotensive if Systolic BP is:
Adult:
- 250ml boluses to a maximum total of 500ml with reassessment between each infusion
Paediatric:
- 10ml/kg, repeat once only with reassessment between each infusion (bolus max. 250ml)
Apply modified Parkland Formula to patients that meet the following criteria:
Adults:
- > 15% TBSA
Paediatrics:
- ≥ 18 months and > 10% TBSA OR
- < 18 months and > 8% TBSA
Modified Parkland Formula:
- 2ml x %TBSA x weight of patient
- 50% of total amount over first 8 hours
- 50% of total amount over next 16 hours
Parkland Calculator
An online calculator to assist in determining fluid administration for burns.
- Consider MEQU Fluid & Blood Warmer for intravenous fluid replacement in:
- Paediatric patients
- Burns patients
- Patients with hypothermia
- 20mL/kg bolus doses titrated to effect
- Subsequent dosages of 20mL/kg/hr (Maximum total dose 60mL/kg i.e. 2 hours entrapment)
- Consult ASMA for further advice
- Hypervolemia
- Normal saline (NaCl 0.9%) in 1000 ml soft plastic bag
- Normal saline (NaCl 0.9%) in 250 ml soft plastic bag
- 10 ml plastic vial
- Normal saline (NaCl 0.9%) sterile pre-filled 5 ml flush syringe
| Settings | |
|---|---|
| Current mode: | |
| Extended Care: | |
| Colour assist: | |
Document Control
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