Table | Stanford Health Care

1 Diagnosis	1 Fluid Type	1 Infusion Rate	1 Circumstances Requiring Further Consideration
1 CHF ACS, Cardiomyopathy, or CCU admit	1 30mL/kg Normal Saline	1 Fluids will be given at a slower infusion rate (perhaps over 30-120 minutes to ensure the total administration of 30mL/kg)	1
1 Acute renal failure, Chronic renal failure, CRRT patients, IHD patients, Etc.	1 30mL/kg Normal Saline	1 Fluids will be infused as rapidly as possible. If the assessment reveals fluid overload, then considerations will be made of a slower infusion rate between 30-120 minutes	1 If patient becomes fluid overloaded the ICU Fellow will work with the treatment team for urgent fluid removal (dialysis or diuretics).
1 Surgery: Hepatic Failure (acute or chronic) /Cirrhosis and recent or distant orthotropic liver transplantation	1 30mL/kg Normal Saline	1 Fluids will be infused as rapidly as possible	1 If patient is a recent OLT +/- renal Tx patient, then collaboration with the primary surgical transplantation team will occur to ensure resuscitation volume and infusion rate decisions take graft preservation into account.
1 Medicine: Hepatic Failure (acute or chronic) /Cirrhosis/ GIB etc.	1 1. 30mL/kg Normal Saline 2. Post 30mL/kg NS, Albumin will be considered in addition to crystalloid resuscitation	1 Fluids will be infused as rapidly as possible	1 Antibiotics will be administered within one hour with the assistance of the Pharma and renal dosing will be considered.