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Fluid Challenge Algorithm - 2006

This algorithm outlines steps for providing a fluid challenge to critical care patients with suspected reduced circulatory volume. It involves giving 200ml of fluid and checking for signs of clinical improvement or increases in stroke volume or central venous pressure within 5 minutes. If signs of improvement are seen, another 200ml can be given and reassessed. If no improvement is seen after two challenges, fluid administration should be stopped and medical advice sought to consider other circulatory support options.

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95 views

Fluid Challenge Algorithm - 2006

This algorithm outlines steps for providing a fluid challenge to critical care patients with suspected reduced circulatory volume. It involves giving 200ml of fluid and checking for signs of clinical improvement or increases in stroke volume or central venous pressure within 5 minutes. If signs of improvement are seen, another 200ml can be given and reassessed. If no improvement is seen after two challenges, fluid administration should be stopped and medical advice sought to consider other circulatory support options.

Uploaded by

juliana mahulette
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Fluid Challenge Algorithm Back to Contents

Use when there is suspected reduced circulatory volume


for Critical Care Patients (eg hypotension, tachycardia, oliguria, positive straight leg raise response)

Able to obtain CVP Give 200 ml


Start reading or SV via No Fluid Challenge Signs of Clinical Improvement? Yes
Doppler?
Wait 5 minutes
Yes No

Stop – Reassess
in 30 mins
Consider CVP
Measure
catheter OR Seek medical advice
Baseline SV / CVP
Oesphageal Doppler

Give 200 ml Give 200 ml Give 200 ml


Fluid Challenge Fluid Challenge Fluid Challenge

Wait 5 minutes Wait 5 minutes Wait 5 minutes

Yes Yes

SV increase > 10% (Doppler) SV increase > 10% (Doppler) SV increase > 10% (Doppler)
OR OR OR
CVP Increase < 3 cmsH2O? CVP Increase < 3 cmsH2O? CVP Increase < 3 cmsH2O?

No

Yes
No Signs of Clinical Improvement? No

Stop – Reassess
Yes No Seek medical advice
! Rapid in 30 mins
fluid loss
eg Haemorrhage
Consider other forms of circulatory
may result in no response Steve Batson, Sheila Adam, May 2006 support and / or PA catheter

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