If your patient was in a crisis situation (septic shock, DKA, gunshot wound to the abdomen, etc) and you could only implement one intervention – what would it be? You might say, “Well, that depends.” If so, you would be wrong!
As long as your patient is breathing and has a heart beat, the most important intervention; the one that reigns supreme over all other interventions is fluids.
Consider this: Crisis causes major fluid shifts in the body as a survival mechanism. Let’s consider the gunshot wound to the abdomen patient – the body thinks, “Survive! Survive! We have to stop bleeding!!” so the body sends its army of clotting soldiers to the site. How do the soldiers get there? They get there through the bloodstream. They get there by riding the wave of fluids.
What happens to the rest of the body (brain, heart, lungs, etc) when the fluid gets shifted to the crisis site? They lose.
Remember what else is contained in fluid: Oxygen and nutrients to feed the cells.
The reason you always think fluids first is because you need to make sure the body’s vital organs are being perfused. No fluid – no oxygen or nutrients. You may save the patient from bleeding out, but if their brain, heart or lungs “die”, then THEY die too.
In a crisis situation with a patient who is breathing and has a heart beat, always think fluids first!
I hope this tips helps you to survive and thrive!!
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