V 55 ² 60 % of total body fluids is fluids and

electrolytes

70% of total body water is located in the intracellular

fluid compartment
30% of total body water is located in the extra
cellular compartment
V rovides an aqueous medium for cellular
metabolism
V Transports materials to and from cells
V Acts as a solvent in which many solutes are
dissolved
V Regulates body temperature
V Raintains the physical and chemical constancy
of the intracellular and extra cellular fluids
V Raintains vascular plasma
V Aids in the digestion of food
V rovides a medium for the excretion of wastes
from the body
V i
00 ml/day as water or liquids ingested in
beverages
V i i00 ml/day ´hiddenµ water ingested in foods
V 300 ml/day as water of oxidation
V i 500 ml/day water eliminated from kidneys as
urine
V i00 ml/day eliminated from GIT
V rormally
600 ml fluids/day to meet body
requirements
V Affected by temperature climate state of
health
V arbohydrates in water
V arbohydrates in Sodium hloride
V Sodium hloride Solution
V Ringer·s Solution
V Lactated Ringer·s Solution
V Rultiple electrolyte solution
V lasma volume expanders
V revents dehydration
V revents and treats ketosis
V romotes sodium diuresis
V Supplies calories for energy
V Supplies water for body needs
V romotes diuresis
V orrects excessive fluid loss (e.g. due to
perspiration)
V revents alkalosis
V rovides calories and ral
V Treats alkalosis
V orrects excessive fluid loss
V Treats diabetic acidosis
V Treats adrenocortical insufficiency
V Treats vomiting
V Treats dehydration from reduced water intake
vomiting or diarrhea
V Treats mild alkalosis
V Treats hypochloremia
V Treats dehydration
V Restores normal fluid after extracellular fluid
shift
V Roderates metabolic acidosis
V Replace daily electrolyte extracellular and
water loss
V Replaces gastric contents lost through gastric
suctioning or vomiting
V Temporarily increase blood volume lost from
trauma hemorrhage burns surgery or
anesthesia
33 year old woman who was admitted for fever
associated with loose bloody stools.
In the last
 hours she passed out approximately
600 cc of loose bloody feces.
She has been febrile also with an average
temperature of 39.6 Ý.
V IVF: D5LR i liter 30 drops per minute
V Oral fluids: 6 glasses of water at
00 cc/glass in
the past
 hours
V Urine output: 7 ² 3 shift i00cc
3 ² ii shift
50cc
ii ² 7 shift i50cc
 2
 2 

2 

 
V Intake
ÿ Oral = 6 x
00 = i
00 cc/
 hrs
ÿ IVF = i liter at 30 drops per min = 3 000 cc/
 hrs
TOTAL = 
00 cc

6 Output
ÿ Urine = i00+
50+i50 = 500cc
ÿ LBR = 600cc
TOTAL = i i00 cc
 2
 2
 
V Average = 500 cc

ÿ Fever
ÿ Excessive sweating
ÿ Oxygen inhalation
ÿ Hooked to a respirator


   
 
V Intake
ÿ Oral = 6 x
00 = i
00 cc/
 hrs
ÿ IVF = i liter at 30 drops per min = 3 000 cc/
 hrs
TOTAL = 
00 cc

6 Output
ÿ Urine = i00+
50+i50 = 600cc
ÿ LBR = 600cc
ÿ IWL = i 000cc
TOTAL =
i00 cc
2