Fluid Stewardship of Maintenance Intravenous Fluids
John Carr, W. Anthony Hawkins, Andrea Sikora, Susan Smith, Amber B. Clemmons, Christopher M. Bland, Trisha Branan
Abstract
Despite the frequent use of maintenance intravenous fluids (mIVF) in critically ill patients, limited guidance is available. Notably, fluid overload secondary to mIVF mismanagement is associated with significant adverse patient outcomes. The Four Rights (right drug, right dose, right duration, right patient) construct of fluid stewardship has been proposed for the safe evaluation and use of fluids. The purpose of this evidence-based review is to offer practical insights for the clinician regarding mIVF selection, dosing, and duration in line with the Four Rights of Fluid Stewardship.
Topics & Concepts
MedicineStewardship (theology)Intensive care medicineIntravenous fluidDosingConstruct (python library)Adverse effectCritically illDuration (music)AnesthesiaInternal medicineArtLiteratureLawComputer sciencePoliticsProgramming languagePolitical scienceElectrolyte and hormonal disordersHemodynamic Monitoring and TherapyTrauma, Hemostasis, Coagulopathy, Resuscitation