9/28/2023 0 Comments Iv maintenance fluid calculator![]() ![]() ![]() glucose 5% contains 5g/100ml).įor special considerations refer to the recommendations for routine maintenance. Consider less frequent monitoring for patients who are stable.ġ.2.6 Clear incidents of fluid mismanagement (for example, unnecessarily prolonged dehydration or inadvertent fluid overload due to IV fluid therapy) should be reported through standard critical incident reporting to encourage improved training and practice (see Consequences of fluid mismanagement to be reported as critical incidents).ġ.2.7 If patients are transferred to a different location, reassess their fluid status and IV fluid management plan on arrival in the new setting.Īdd 50–100 grams/day glucose (e.g. If patients develop hyperchloraemia or acidaemia, reassess their IV fluid prescription and assess their acid–base status. Patients on longer-term IV fluid therapy whose condition is stable may be monitored less frequently, although decisions to reduce monitoring frequency should be detailed in their IV fluid management plan.ġ.2.5 If patients have received IV fluids containing chloride concentrations greater than 120 mmol/l (for example, sodium chloride 0.9%), monitor their serum chloride concentration daily. However, urinary sodium values may be misleading in the presence of renal impairment or diuretic therapy.) Urinary sodium may also indicate the cause of hyponatraemia, and guide the achievement of a negative sodium balance in patients with oedema. (Reduced urinary sodium excretion may indicate total body sodium depletion even if plasma sodium levels are normal. Patients receiving IV fluid therapy to address replacement or redistribution problems may need more frequent monitoring.Īdditional monitoring of urinary sodium may be helpful in patients with high-volume gastrointestinal losses.
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