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Fluid case 2

Educational resources for renal medicine

Licensed under a Creative Commons LicenseCreative Commons Attribution 4.0 International License.

Use the principles described in Fluids basics to approach this problem logically. Go back to those pages to look things up when necessary.

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. Questions:

1. How much fluid does she need to regain a normal blood pressure and make up her losses?

2. What fluids would you use?

10 marks available.  Read the hints, but write down your answer before clicking to read ours.

How to approach the first part of the question (click to expand/collapse)

How to approach the second part of the question (click to expand/collapse)

Click here to reveal our answer

Page last modified 31.10.2016, 16:29 by Administrator. edrep and edren are produced by the Renal Unit at the Royal Infirmary of Edinburgh and Univ. Edinburgh. CAUTIONS and Contact us. Note that the information published here is primarily intended for education, not for clinical care.