Bruiser, an 84 lb. Golden Retriever isadmitted to the hospital after being hit by a car. Bruiser has novisible external injuries, but his gums are pale, his CRT is 3.5secs and he is recumbent. Dr. Smack determines he is in shock. Youare instructed to administer fluids at 2 times hisdaily maintenance requirement for the first 60 minutes and toadminister Methylprednisolone sodium succinate 35 mg/kg IV(Concentration 500 mg/mL).
a. What isBruiser’s fluid rate?
b. By what routewill you administer the fluids? Why(Think shock)?
c. What flowrate will you set?
d. What is themaximum infusion rate that would be safe to administer fluids tothis patient? (Don’t just give the number from the notes, do thecalculation)
e. What do youneed to monitor if you are going to exceed this rate?
f. Calculate the dose of methylprednisolone sodium succinate.
