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We'd like to understand how you use our websites in order to improve them. Register your interest. Three principal factors must be considered in initial fluid therapy in the treatment of shock: a blood volume deficit; b oxygen transport capacity; and c metabolic requirement of water and electrolytes.
Treatment is individualized by continuous observation and changes are made as required. The relative merits and indications for use of crystalloid and colloid solutions are outlined. Oxygen delivery to the tissues must be guaranteed. The flow properties of the blood improve and the oxygen carrying capacity decreases with reducing hematocrit levels; a hematocrit reading of about 30 or slightly above is adequate. In determining the metabolic requirements, 3 factors must be considered: the physiologic daily requirement of water and electrolytes; the increased extrarenal fluid losses; and the reduction of the extracellular volume in trauma.
This is a preview of subscription content, log in to check access. Rent this article via DeepDyve. Shires, G. New York, McGraw-Hill, Google Scholar. Moore, F. World J. Shoemaker, W. Care Med. Moss, G. Surgery 89 , Smith, J.
Modig, J. Resuscitation in press. Hutchinson, J. Richter, A. Today 3 , Renck, H. Acta Chir. Lamke, L. Resuscitation 55 , Messmer, K. North Am. Crowell, J. Roth, E. Forum 18 , Schitzgal, H. Campion, D. Surgery 66 , Hagberg, S. Kinney, J. Acta Anesth. Download references. Reprints and Permissions. Arturson, G. Fluid therapy in shock. Download citation. Issue Date : September Search SpringerLink Search.
Abstract Three principal factors must be considered in initial fluid therapy in the treatment of shock: a blood volume deficit; b oxygen transport capacity; and c metabolic requirement of water and electrolytes. References 1. Resuscitation in press 8. View author publications. You can also search for this author in PubMed Google Scholar. Rights and permissions Reprints and Permissions. About this article Cite this article Arturson, G.
Fluid therapy in shock
Fluidoterapia en Neurocirugía Craneal