Fluid management in the surgical patient
Activity
Clinical Exposure
Clinical Exposure
Curriculum Block
Clerkship / Surgery Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- List the normal range of Na+, K+, HCO3-, Cl- in serum and indicate how these ranges change in perspiration, gastric juice, bile and ileostomy contents.
- List least six symptoms or physical findings of dehydration.
- List and describe the objective ways of measuring fluid balance.
- List the electrolyte composition of the following solutions: normal (0.9%) saline; half normal saline; one third normal saline; 5 percent dextrose in water; Ringer's lactate.
- In the following situations, indicate whether serum Na, K, HCO3, Cl and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): excessive gastric losses; high volume pancreatic fistula; small intestine fistula; biliary fistula; diarrhea
- In the following situations, indicate whether serum and urine Na, K, HCO3, Cl and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): acute tubular necrosis; dehydration; secretion (SIADH); diabetes insipidus; congestive heart failure
- Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: hypernatremia; hyponatremia; hyperkalemia; hypokalemia; hypochloremia
- Describe the concept of a “third space” and list those conditions that can cause fluid sequestration of this type.
Tags
Curriculum Block
Clerkship
Surgery Rotation
Discipline
Surgery
MeSH
Intraoperative Care [E04.604.249]
