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Fluid and Electrolyte Replacement for Various Losses per 100ml

Drainage Fluid (100ml) 5% Glucose (ml) Normal Saline (ml) 1/6 mol/L Sodium Lactate (ml) 15% Potassium Chloride (ml)
Gastric Juice 40 60 - 0.4~1
Small Intestinal Fluid 20 70 10 0.2~1
Bile Fistula Fluid - 67 33 0.25~1
Pancreatic Fistula Fluid - 50 50 0.25~1
Intestinal Fistula Fluid 20 50 30 0.2~1
Gastrointestinal Decompression Fluid 25 75 - 0.25~1

Explanation

The additional loss in surgical patients mainly involves the loss of water and electrolytes. The principle of supplementation is to replace the lost amount equally. The additional loss fluid should be estimated every 4-6 hours and generally should not be replenished later than 6 hours after the loss.

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