Online Edition of the Equine Fluid Therapy Google Application.

Other Fluids/Additives

Plasma

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

For an average 450kg adult horse, 6 to 8L of plasma will increase total protein by 10g/l.

  • Horse Bodyweight(kg)
  • Desired Total Protein(g/l)
  • Total Protein Of Recipient(g/l)
  • Total Protein Of Donor(g/l)
  • Plasma Volume Required(l)

Blood

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

For an average 450kg adult horse, an empirical estimate can be used: 6 to 8L or, half the blood volume lost, or 1L per desired 1% increase in PCV.

  • Desired PCV(%)
  • PCV Of Recipient(%)
  • PCV Of Donor(%)
  • Blood Volume Required(l)

Colloids

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

Volume (l) of colloids required based on bodyweight.

  • Volume of 6% Hetastatch @ 10ml/kg (litres)
  • Volume of 10% Pentastatch @ 8ml/kg (litres)

Hypertonic Saline

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

Volume (l) of hypertonic saline required based on bodyweight.

  • Volume of 7% NaCl @ 2ml/kg (litres)
  • Volume of 7% NaCl @ 4ml/kg (litres)

Sodium Bicarbonate

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

Volume (mls) of sodium bicorbonate required, based on base deficit.

  • Base Deficit (mmol/l)
  • Total Bicarbonate Deficit (mmol)
  • Volume of 8.4% NaHC03 @ 1mmol/ml (mls)
  • Volume of 5% NaHC03 @ 0.6mmol/ml (mls)

Potassium

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

Potassium can be added at 20 to 40 mEq/L when administered at maintenance IV fluid rates. Do not exceed 0.5 to 1 mEq/kg/hr delivery.

Calcium

Complete the patient data in the white boxes. Record a zero for any component not required. Once all required fields are completed the results will appear in the darker boxes. The TAB key can be used to move between the input boxes.

Hypocalcaemia (total serum Ca less than 2mmol/L) can be treated empirically, in the average 450kg adult horse, by administering 100 to 150ml of 23% calcium borogluconate SLOWLY IV. A safe rate is 0.01 mmol/kg/min. do NOT administer with bicarbonate containing fluids or blood products.

Serum calcium should be rechecked after administering half the intended dosage.

To more accurately approximate the deficit, enter calcium deficit in mmol/l.

If required, use either of the converters below to convert units from mg/dl or initially correct the patient total calcium level if hypoalbuminaemia (Alb less than 20g/l) is present. This uses the equation: Corrected Calcium = (Ca +0.02(40-Alb)).

  • Patient Calcium Deficiency (mmol/l)
  • Total Calcium Deficit (mmol/l)
  • Volume of 23% Calcium Gluconate (mls)
  • Volume of 10% Calcium Gluconate (mls)
  • Volume of 10% Calcium Chloride (mls)
  • Patient Serum Calcium (mmol/l)
  • Patient Albumin (g/l)
  • Corrected Patient Serum Calcium (mmol/l)

For more information or inquiries, please contact Rachel@VetProOnline.com