IV fluid

02






(KVO)
(maintenance
fluid)

(replacement fluid)
(nutrition supplement)
(Blood supplement)


Crystalloid
Colloid
Blood
other

(Crystalloid) (Colloid)






(Crystalloid) (Colloid)

Isotonic Crystalloids Polygeline

Hypertonic Crystalloids Oxypolygelatin
Hypotonic Crystalloids Dextran
 Crystalliod

Isotonic Hypertonic Hypotonic

D-5-W 10% Dextrose 0.45% NSS
0.9%NSS 20% Dextrose 1/3 NSS
D-5-S 3% NaCl 1/4 NSS
LRS 5% NaCl 1/5 NSS
Acetate ringer Etc
Etc
 Colloid
Polygeline Oxypolygelatin Dextran
Haemaccel Gelifundol Dextran 40
Dextran 70
Plasmax
 Intravenous Solution

Solution D5W 0.45% NS 0.9% NS

mOsm/L 280 155 308
Na+ 0 77 154
Cl- 0 77 154
K+ 0 0 0
Ca++ 0 0 0
Mg++ 0 0 0
Lactate 0 0 0
Dextrose 50 g/L 0 0
9
 Intravenous Solutions

Solution LR D5LR 3% NS
mOsm/L 275 525 1025
Na+ 130 130 513
Cl- 109 109 513
K+ 4 4 0
Ca++ 3 3 0
Mg++ 0 0 0
Lactate 28 28 0
Dextrose 0 50 g/L 0 10
 Intravenous Solutions

Solution D5 NS D5NS Ringers

mOsm/L 406 561 309
Na+ 77 154 147
Cl- 77 154 156
K+ 0 0 4
Ca++ 0 0 4.0-4.5
Mg++ 0 0 0
Lactate 0 0 0
Dextrose 50 g/L 50 g/L 0 11

Hypertonic solution
Standard diluent




 Hypertonic


 IV administration fluid
standardization recommend
Drug Dose Fluid Volume Rate
Acetycysteine 6000-14000 D5W 200 ml Over 15 min
Acyclovir 250-500 NSS, D5W 100 ml Over 60 min
Amikacin - NSS, D5W 100 ml Over 30 min
Aminophylline 0-500 mg NSS, D5W 100 ml Over 30 min
Amphotericin D5W 500 ml Over 6 hr
B
Ceftriaxone 0-2 g NSS, D5W 50 ml Over 15-
30min
Clindamycin 0-300 NSS, D5W 50 ml Over 10 min
301-600 NSS, D5W 50 ml Over 20 min
601-900 NSS, D5W 100 ml Over 30 min
901-1200 NSS, D5W 100 ml Over 40 min
CCIS and Handbook of injectable drug


Esophageal
varices bleeding: Octreotide
injection 25-50 mcg IV push then
continuous IV infusion 25-50 mcg/hr



30% dextrose in NSS/5

D5S/5 50% glucose

 IV FLUID
5% D/N/5 50% Glucose 10% D/N/5 50% Glucose
(cc) (cc) (cc) (cc)

10% 444.44 55.56

15% 388.89 111.11 437.5 62.5
20% 333.33 166.67 375 125
25% 277.78 222.22 312.5 187.5
30% 222.22 277.78 250 250
35% 166.67 333.33 187.5 312.50
40% 111.11 388.89 125 375


(Infilltration)

(Phlebitis)

(air embolism)
(circulatory overload)

DM, HT
Sepsis shock
Norepinephrine 4 mg IV infusion
NE
NE max dose