Kirby's Rule of 20: the veterinary nurse's critical patient checklist part 1


Kirby's Rule of 20 is a patient checklist including 20 parameters that should be checked daily in the critically ill patient. It reviews the established evidence-based information regarding patient checklist use in veterinary emergency and critical care medicine. The list of 20 will be discussed over a four-part series to give an appropriate level of information and attention to each patient parameter. Part 1 includes: fluid balance, albumin and oncotic pull, electrolytes and acid–base, mentation, and heart rate/rhythm/contractility.

Figure 1. Diagram showing the body's fluid compartments that comprise total body water (TBW).
Figure 1. Diagram showing the body's fluid compartments that comprise total body water (TBW).

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