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MedSimu Surgery
MedSimu
3 episodes
2 months ago
Sharpen your surgical acumen with MedSimu Surgery Your dedicated audio guide through the core and complexities of surgical science. From acute emergencies to operative principles, each episode distills key surgical concepts into clear, concise, exam-focused insights. Ideal for medical students, surgical trainees, and doctors preparing for exams like MRCS, PLAB, USMLE, NEET-PG and NCLEX.
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Medicine
Education,
Health & Fitness
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All content for MedSimu Surgery is the property of MedSimu and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Sharpen your surgical acumen with MedSimu Surgery Your dedicated audio guide through the core and complexities of surgical science. From acute emergencies to operative principles, each episode distills key surgical concepts into clear, concise, exam-focused insights. Ideal for medical students, surgical trainees, and doctors preparing for exams like MRCS, PLAB, USMLE, NEET-PG and NCLEX.
Show more...
Medicine
Education,
Health & Fitness
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Surgery | EP3 | Fluid Balance and Replacement
MedSimu Surgery
9 minutes
3 months ago
Surgery | EP3 | Fluid Balance and Replacement

πŸŽ™οΈ Surgery - EP3: Fluid Balance and Replacement
Welcome to another episode of the MedSimu Surgery Podcast, where we break down surgical fundamentals for clinical excellence and exam prep. Today’s focus is fluid balanceβ€”a vital concept in both acute and routine surgical care.

🎧 Tune in to Learn:
βœ… Fluid Compartments – ICF vs. ECF, and the 60/40/20 rule
βœ… Monitoring – Clinical signs, urine output, daily weight, U&E
βœ… Causes of Imbalance – Third spacing, surgery, kidney disease, iatrogenic errors
βœ… Fluid Resuscitation – Shock criteria and emergency bolus strategy
βœ… Maintenance Fluids – 25–30 mL/kg/day and the 100-50-20 rule explained
βœ… Replacement Therapy – Calculating deficits, matching ongoing losses, adjusting for intake
βœ… Electrolytes – Safe correction of sodium, potassium, and the role of labs

Chapters

  • (00:00) - Intro & Overview
  • (00:44) - What Is Fluid Balance?
  • (01:06) - Fluid Compartments: ICF vs. ECF
  • (01:28) - Electrolyte Movement & Homeostasis
  • (01:38) - Why Monitoring Fluid Status Matters
  • (02:16) - Signs of Dehydration & Overload
  • (03:06) - Urine Output & Daily Weights
  • (03:42) - Lab Investigations: U&Es, HCT
  • (04:13) - Causes of Imbalance in Surgical Patients
  • (05:14) - Emergency Resuscitation Criteria
  • (05:39) - Fluid Bolus & Initial Steps
  • (06:14) - Maintenance Therapy: When & How Much
  • (06:44) - Maintenance Calculations: 100-50-20 Rule
  • (07:15) - Fluid Replacement for Ongoing Losses
  • (07:59) - Electrolyte Correction & Monitoring
  • (08:19) - Final Recap & Takeaways

Whether you’re managing NBM patients, resuscitating trauma, or preparing for MRCS and surgical rotations, this episode will give you the clinical clarity you need.

πŸ”” Subscribe to the MedSimu Surgery Podcast for more essential breakdowns on surgical care!
#Surgery #FluidBalance #Electrolytes #MRCS #MedSimu #clinicalskills #medstudentpodcast

MedSimu Surgery
Sharpen your surgical acumen with MedSimu Surgery Your dedicated audio guide through the core and complexities of surgical science. From acute emergencies to operative principles, each episode distills key surgical concepts into clear, concise, exam-focused insights. Ideal for medical students, surgical trainees, and doctors preparing for exams like MRCS, PLAB, USMLE, NEET-PG and NCLEX.