HIDRATACIN PREOPERATORIA

Juan Ramiro Taipe Guao

Rotacin de Ciruga
Hospital Docente Eugenio Espejo
Febrero 2014





Anions/ cations in boby fluids

Fluids and Electrolytes with Clinical Applications., Joyce LeFever Kee, Betty J. Paulanka,
and Carolee., 8th Edition.,2010
Electrolyte Composition of Body
Fluid (mEq/L)
Fluids and Electrolytes with Clinical Applications., Joyce LeFever Kee, Betty J. Paulanka,
and Carolee., 8th Edition.,2010
Clinical Problems Asocciate with Electrolyte Imbalance
Fluids and Electrolytes with Clinical Applications., Joyce LeFever Kee, Betty J. Paulanka,
and Carolee., 8th Edition.,2010
Clinical Problems Asocciate with Electrolyte Imbalance
Fluids and Electrolytes with Clinical Applications., Joyce LeFever Kee, Betty J. Paulanka,
and Carolee., 8th Edition.,2010
VALORES NORMALES
Macrodinmicos TAM= 80-90 mmHg
< TAM=70 alteracin de la conciencia
< TAM=50 alteracin rion
NA srico, K srico
Cantidad de agua que contiene una persona
Varn: peso x 0.6
Mujer: peso x 0.5
Volumen urinario: 0.5 1 ml/kg/h
Oliguria 0.3-0.5 ml/kg/h
Anuria: < 0.3 ml/kg/h

CALCULOS DE LIQUIDOS BASALES
Liquido basal: 40ml/kg/24h
Sodio basal: 2-3mEq/Kg/24h
Potasio Basal: 1-2 mEq/kg/24h
Caloras: 30Kcal/kg/24h
PASO EN BOLO: se basa en la TAM(tension
arterial media)
TAM 50-70 10 ml/kg en 30 minutos
TAM < 50 20ml/kg en 30 minutos
TAM> 70 nada de liquido basal