University Hospital of Wales Paediatric Intensive Care Unit Guideline Printed on Wed 23-jul-08
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Last updated June 9, 2014 10:10 AM

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University Hospital of Wales Heath Park
Cardiff
CF14 4XW
02920 747747

Resuscitation fluid

Assessing volume status relies more on interpreting trends than in absolute values: In rough order of importance:

Fluid for resuscitation

The following fluids are used, but the preference may vary according to the consultant and the clinical situation.

0.9% saline: default solution - readily available.

4.5% human albumin: may be used in septic shock. No other indications. Order from blood bank for specific patients (small emergency supply on PICU). Any unused at the end of the patient stay must be returned.

Hartmann's solution: used if chloride is high
Use only 0.9% saline in trauma and head injury

If Hb < 10g/dL give blood (this applies to resuscitation phase only)