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intravenous infusion
Introduction of fluid other than blood into a vein, i.e. an intravenous infusion.
Management:
- bolus of intravenous fluid for dehydration or hypovolemia = 1 liter bolus in patients without heart failure of renal failure
- for elderly or patients with heart failure of renal failure, bolus of 500 mL
- infusion of 60 mL/hr = 1.44 liters/day; 75 mL/hr = 1.8 liters/day
- restricting the use of chloride-rich intravenous fluids in critical illness reduces acute kidney injury & the need for renal-replacement therapy [2]
- substitutes for normal saline include
- Hartmann solution
- Plasma-Lyte 148
- 20% Albumex
Related
clinical hydration
Specific
intravenous hydration
General
infusion
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Yunos NM et al
Association Between a Chloride-Liberal vs Chloride-Restrictive
Intravenous Fluid Administration Strategy and Kidney Injury in
Critically Ill Adults.
JAMA. 2012;308(15):1566-1572.
PMID: 23073953
http://jama.jamanetwork.com/article.aspx?articleid=1383234
- Waikar SS and Winkelmayer WC
Saving the Kidneys by Sparing Intravenous Chloride?
JAMA. 2012;308(15):1583-1585
PMID: 23073956
http://jama.jamanetwork.com/article.aspx?articleid=1383220
- Moritz ML, Ayus JC
Maintenance Intravenous Fluids in Acutely Ill Patients.
N Engl J Med 2015; 373:1350-1360. October 1, 2015
PMID: 26422725
http://www.nejm.org/doi/full/10.1056/NEJMra1412877