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wikitox:3.4.8_fluid_resuscitation

Fluid Resuscitation

INTRAVENOUS FLUIDS

Those patients with significant toxicity or who receive decontamination require intravenous fluids for a number of reasons.

  • It is useful to have intravenous access if significant clinical complications develop.
  • These patients often have relative volume depletion, either due to the co-ingestion of alcohol or due to vasodilatation induced by ingested drugs.
  • Patients who have received activated charcoal containing sorbitol will generally lose fluid into their bowel.

Therefore, most patients should have a litre of normal saline in the first hour and a further litre over the next three to four hours. Patients who are dehydrated or who have taken vasodilating or negatively chronotropic drugs will usually need even more fluid.

wikitox/3.4.8_fluid_resuscitation.txt · Last modified: 2018/09/01 09:00 (external edit)