What is the choice of fluid in vomiting?

Ringer's lactate IV fluid is preferred. If not available, use normal saline or dextrose solution. It is important to measure the amount of IV fluids delivered and measure the fluid lost as diarrhea and vomitus.
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Is normal saline good for vomiting?

Normal Saline (0.9%)

IV fluids rapidly replenish fluids in the body lost from vomiting, or not consumed due to nausea.
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Will IV fluids stop vomiting?

i.v. fluid improves reported symptoms. Dextrose saline may be more effective at improving nausea over time for those with moderate nausea. Diazepam appears to be more effective than i.v. fluids alone at reducing nausea on day 2 but there was no evidence post treatment for those with moderate/severe nausea.
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When should I take IV fluids for vomiting?

A person needs IV fluids when they become dangerously dehydrated. Serious dehydration may occur when you: Are sick (vomiting and diarrhea). Exercise too much or spend too much time in the heat without drinking enough.
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What is the maintenance fluid of choice in pediatric rehydration?

For most children, a 5% dextrose solution with 0.2% sodium chloride provides the estimated needs of sodium when used as a maintenance fluid.
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Fluids Of Choice



What is the 4 2 1 maintenance fluid rule?

maintenance fluid requirements are calculated using the 4,2,1 rule (4ml/kg/hr for the first 10kg, 2ml/kg/hr for the second 10kg, and 1ml/kg/hr after that, with a maximum of 100ml/hr maintenance). Refer to the RCH intravenous fluids CPG and RCH maintenance fluid calculator.
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What is the best IV fluid for rehydration?

Ringer's lactate IV fluid is preferred. If not available, use normal saline or dextrose solution. It is important to measure the amount of IV fluids delivered and measure the fluid lost as diarrhea and vomitus.
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What is the immediate treatment for vomiting?

What can be done to control or relieve nausea and vomiting?
  1. Drink clear or ice-cold drinks.
  2. Eat light, bland foods (such as saltine crackers or plain bread).
  3. Avoid fried, greasy, or sweet foods.
  4. Eat slowly and eat smaller, more frequent meals.
  5. Do not mix hot and cold foods.
  6. Drink beverages slowly.
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What fluids help with nausea and vomiting?

Use a clear liquid diet to reduce the feeling of nausea. Liquids such as apple juice, cranberry juice, lemonade, fruitades, broth, Gatorade®, ginger ale, 7-Up®, popsicles, gelatin, tea, or cola are usually well tolerated. Sip liquids slowly.
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Is electrolyte water good for vomiting?

While water is a good way to restore lost fluids, electrolytes are key for treating diarrhea and vomiting.
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When do you give lactated Ringers?

Lactated Ringer's injection is used to replace water and electrolyte loss in patients with low blood volume or low blood pressure. It is also used as an alkalinizing agent, which increases the pH level of the body. This medicine is to be given only by or under the supervision of your doctor.
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When do you use lactated ringers vs normal saline?

In comparison, normal saline (NS) has an osmolarity of about 286 mOsm/L. Ringer's lactate is largely used in aggressive volume resuscitation from blood loss or burn injuries; however, Ringer's lactate is a great fluid for aggressive fluid replacement in many clinical situations, including sepsis and acute pancreatitis.
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Does Pedialyte help with vomiting?

Pedialyte has an optimal balance of sugar and electrolytes needed for fast rehydration when vomiting and diarrhea leave you or your little one stuck in the bathroom. If you or your kids are having trouble keeping liquids down, start by taking small sips of Pedialyte every fifteen minutes.
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How do doctors treat nausea and vomiting?

Medicines that treat nausea and vomiting are called antiemetics. Several OTC medicines are used as antiemetics. These include: Bismuth subsalicylate (2 brand names: Kaopectate, Pepto-Bismol).
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Which is better for dehydration Rl or ns?

Conclusion: Both RL and NS are equivalent in terms of change in serum sodium from baseline for intravenous rehydration in children with acute diarrhea and severe dehydration.
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Is lactated Ringer's good for dehydration?

Lactated Ringer's solution is an intravenous fluid that doctors use to treat dehydration and restore fluid balance in the body. The solution consists primarily of water and electrolytes.
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What are the 3 main types of IV fluids?

There are three types of IV fluids:
  • Isotonic.
  • Hypotonic.
  • Hypertonic.
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What is the 10 50 20 rule?

The Holliday-Segar nomogram approximates daily fluid loss, and therefore the daily fluid requirements, as follows: 100 ml/kg for the 1st 10 kg of wt. 50 ml/kg for the 2nd 10 kg of wt. 20 ml/kg for the remaining wt.
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What is the 4 21 rule fluids?

In anesthetic practice, this formula has been further simplified, with the hourly requirement referred to as the “4-2-1 rule” (4 mL/kg/hr for the first 10 kg of weight, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for each kilogram thereafter.
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What is the rule of 10 in IV fluids?

Burns Rule of TENS:

Multiply %TBSA x 10 = Initial fluid rate in mL/hr (for adult patients weighing 40 kg to 80 kg). 3. For every 10 kg above 80 kg add 100 mL/hr to the rate.
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Why Ringer lactate is contraindicated in vomiting?

This solution is contraindicated where the administration of sodium, potassium, calcium, chloride or lactate could be clinically detrimental. Lactate administration is contraindicated in severe metabolic acidosis or alkalosis, and in severe liver disease or anoxic states which affect lactate metabolism.
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Why do surgeons prefer lactated ringers?

Lactated Ringer's solutions of high potassium levels are useful to maintain serum potassium and glucose levels at more normal levels during surgical procedures under general anesthesia.
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What patients should not receive lactated ringers?

Other Medical Problems
  • Alkalosis (high pH levels in the blood) or.
  • Diabetes or.
  • Hypercalcemia (high calcium level in the blood) or.
  • Hypokalemia (low potassium levels in the blood) or.
  • Kidney stones, or history of or.
  • Metabolic acidosis (eg, lactic acidosis), severe—Use is not recommended.
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What is Ringer's solution used for?

This solution, given intravenously, is used to rapidly restore circulating blood volume in victims of burns and trauma. It is also used during surgery and in people with a wide variety of medical conditions.
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