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https://www.ncbi.nlm.nih.gov/books/NBK534791/
The primary role of fluid resuscitation is to maintain organ perfusion (hemodynamics) and substrate (oxygen, electrolytes, among others) delivery through the administration of fluid and electrolytes. An enteral route can be used; however, when oral intake is not possible, clinicians can replace fluid losses by intravenous (IV) administration.[1]
https://www.msdmanuals.com/professional/critical-care-medicine/shock-and-fluid-resuscitation/intravenous-fluid-resuscitation
However, the body increases cardiac output to maintain oxygen delivery (DO2) and increases oxygen extraction. These factors provide a safety margin of about 9 times the resting oxygen requirement. Thus, non–oxygen-carrying fluids (eg, crystalloid or colloid solutions) may be used to restore intravascular volume in mild to moderate blood loss.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541175/
The concept of low volume fluid resuscitation also known as permissive hypotension avoids the adverse effects of early aggressive resuscitation while maintaining a level of tissue perfusion that although lower than normal, is adequate for short periods.
https://journals.lww.com/journalofinfusionnursing/Abstract/2008/03000/Pediatric_Trauma_Resuscitation__Initial_Fluid.7.aspx
Fluid management is a vital component in the resuscitative care of the injured child. The goal of fluid resuscitation is to restore tissue perfusion without compromising the body's natural compensatory mechanism. Recent literature has questioned the timing, type, and amount of fluid administration during the resuscitative phase.
https://artifactsjournal.missouri.edu/2016/04/hypovolemic-shock-and-fluid-resuscitation/
Emergency treatment for a patient with hypovolemic shock involves ensuring proper ventilation and maximum oxygen delivery, controlling blood loss, and fluid resuscitation to replace circulating volume. Patients airways should be assessed and they should be ventilated if it is necessary.
https://www.bmj.com/content/345/bmj.e5752
Sep 11, 2012 · Permissive (hypotension) hypovolaemic resuscitation is used to describe a process that minimises administration of fluid resuscitation until haemorrhage control has been achieved, or is deemed unnecessary on definitive imaging. Resuscitation is the restoration of oxygen delivery and organ perfusion to match requirements.Author: T. Harris, T. Harris, G. O. R. Thomas, K. Brohi, K. Brohi
https://www.sciencedirect.com/science/article/pii/S1726490111002206
Conclusion. Effective resuscitation using a high concentration of inspired oxygen and adequate fluid infusion, either as a single-dose bolus of NS or combining this with a subsequent transfusion of WB, LR, or NS, helped to stabilize the cardiovascular condition of the tested young subjects and improved cerebral tissue oxygenation over the emergent first four hours.Author: Jen-Chung Chien, Mei-Jy Jeng, Mei-Jy Jeng, Wen-Jue Soong, Wen-Jue Soong, Betau Hwang
https://quizlet.com/390602744/nursing-6-unit-5-medical-surgical-nursing-brunner-chapter-14-shock-flash-cards/
Start studying nursing 6 Unit 5 Medical Surgical nursing brunner chapter 14 - Shock. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
https://www.uptodate.com/contents/septic-shock-in-children-ongoing-management-after-resuscitation?topicRef=85767&source=see_link
Continued fluid resuscitation and vasopressor delivery targeted to measured cardiac index, perfusion pressure, ... of tissue oxygen delivery. Thus, maintaining adequate hemoglobin levels is an important aspect of managing children with ongoing septic shock.
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