Fluid Stewardship of Maintenance Intravenous Fluids. (October 2022)

• Record Type: Journal Article
• Authors: Carr, John R.; Hawkins, W. Anthony; Newsome, Andrea Sikora; Smith, Susan E.; Amber B, Clemmons; Bland, Christopher M.; Branan, Trisha N.
• Is Part Of: Journal of pharmacy practice. Volume 35:Number 5(2022)
• Page Start: 769
• Page End: 782
• Publication Date: 2022-10
• Subjects: critical care -- stewardship -- acute kidney injury -- drug induced kidney injury -- fluid therapy -- maintenance fluid; Pharmacy -- Periodicals; Pharmacology -- Periodicals; 615.1
• DOI: 10.1177/08971900211008261
• Languages: English
• ISSNs: 0897-1900

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.