ELECTROLYTE are minerals in your blood & other body
fliud that carry an electric charge .
Electrolyte affect how your body functions in many
ways include the amount of water in your body
Sodium , potassium & chloride are the significant
electrolyte along with magnesium , calcium ,
phosphate & bicarbonate.
GOALS
Maintance of normovolemia & hemodynamic
stability.
Acceptance plasma colloid osmotic pressure.
Correction of acid base imbalance.
Adequate urine output ( 0.5 to 1 ml / kg / hr )
, Crystalloids or colloids
Crystalloids – recommended as the initial fluid of
choice in resuscitating patients from hemorrhagic
shock
COCHRANE collaboration in critically ill patients
No evidence from RCT that resuscitation with colloids
reduces the risk of death , compared with crystalloids
in patients with trauma or burns after surgery.
Advantages :
Non antigenic.
Does not interfere with blood grouping.
Greater plasma volume expansion.
Preserve intestinal micro vascular perfusion in
endotoxaemia
Duration 24 hrs.
Disadvantages :