Intravenous fluid and electrolyte management in children and young people. Issue 4 (April 2019)

• Record Type: Journal Article
• Authors: Lander, Anthony
• Is Part Of: Surgery. Volume 37:Issue 4(2019)
• Page Start: 189
• Page End: 194
• Publication Date: 2019-04
• Subjects: Glucose -- hyponatraemia -- IV fluids -- neonates -- osmosis -- paediatrics -- potassium -- rehydration -- resuscitation -- saline; Surgery -- Periodicals; Surgery -- Periodicals; Chirurgie -- Périodiques; Thérapeutique -- Périodiques; Electronic journals; 617
• DOI: 10.1016/j.mpsur.2019.02.002
• Languages: English
• ISSNs: 0263-9319

Abstract

Abstract: NICE published guidance NG29 in December 2015 entitled Intravenous fluid therapy in children and young people in hospital and in September 2016 Quality Standard QS131. These patient safety documents were developed following avoidable deaths in children who were given inappropriate or excessive volumes of intravenous fluids or who were inappropriately monitored, leading to acute symptomatic hyponatraemic encephalopathy. It is not mandatory to apply the recommendations of NG29, but anyone prescribing intravenous fluids should be familiar with them. This article does not reiterate NG29, but aims to help the reader: (i) revise their relevant basic science knowledge, while challenging their understanding of osmosis; (ii) use correctly the terms tonicity and osmolarity in clinical practice; and (iii) manage some electrolyte derangements.