Fluid therapy in patients with pulmonary disease

The Veterinary Clinics of North America. Small Animal Practice
Sophie Adamantos, Dez Hughes

Abstract

Fluid therapy in patients with pulmonary disease is challenging. Although a single set of rules cannot be applied to every patient, the following guidelines can be used when managing patients with pulmonary disease. Euvolemic patients with adequate tissue perfusion should be given sufficient isotonic fluid to balance insensible losses. If severe pulmonary compromise is present, cessation of all fluid therapy may be considered if the patient is able to match its losses by voluntary intake. In hypovolemic or hypotensive patients, small boluses of isotonic crystalloids or colloids should be given to restore perfusion, avoiding rates of more than 30 mL/kg an hour for isotonic crystalloids. If perfusion is not restored by adequate volume resuscitation, vasopressors or positive inotropes should be administered to prevent fluid overload and deterioration in pulmonary function.

References

Sep 11, 1975·Circulation Research·A J ErdmannN C Staub
Apr 1, 1974·The Journal of Surgical Research·J D RichardsonJ K Trinkle
Dec 1, 1981·Critical Care Medicine·P L Appel, W C Shoemaker
Jul 1, 1981·Critical Care Medicine·B A HarmsR H Demling
Apr 1, 1993·The American Review of Respiratory Disease·H BachofenE R Weibel
Aug 17, 2000·The New England Journal of Medicine
Jul 12, 2003·The Journal of Trauma·Michael E KellyKenneth G Proctor
Dec 17, 2003·Acta Anaesthesiologica Scandinavica·M MatejovicI Novak
Feb 27, 2004·Respiratory Care Clinics of North America·Andrew L Rosenberg
Oct 6, 2005·JAMA : the Journal of the American Medical Association·Monica R ShahRobert M Califf

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