Intensive Care Unit, Austin Hospital, Eastern Health, Melbourne, Victoria, Australia.
Nurs Health Sci. 2012 Jun;14(2):265-71. doi: 10.1111/j.1442-2018.2012.00689.x.
Many acutely unwell, hospitalized patients receive continuous intravenous (IV) fluids. Complications of IV fluid administration include electrolyte abnormalities and fluid overload, which be detected by appropriate IV fluid administration and monitoring practices. This prospective clinical audit described the administration and monitoring of maintenance IV fluid in ward patients in an Australian tertiary teaching hospital. Of 332 inpatients (98%), 85 (26%) were receiving IV fluids. Serum electrolyte and renal function measurements were obtained in 85% versus 65% of patients receiving IV fluids versus no IV fluids (P < 0.001). Fluid balance charts were being maintained for 94% versus 44% of patients receiving IV fluids versus no IV fluids (P < 0.001). Body weight measurements were documented for 15% versus 14% for patients receiving IV fluids versus no IV fluids (P = 0.078). Findings show that approximately one-quarter of adult ward patients in our hospital received IV fluids. Monitoring of such patients using regular blood tests and fluid balance charts is high, but patient weight measurements are low. Why hospitalized patients who require maintenance IV fluids do not have regular body weight measurements requires further investigation.
许多病情严重的住院患者接受持续的静脉输液（IV）治疗。IV 液管理的并发症包括电解质异常和液体超负荷，这些可以通过适当的 IV 液管理和监测实践来检测。本前瞻性临床审计描述了澳大利亚一所三级教学医院病房患者维持性 IV 液的管理和监测情况。在 332 名住院患者中（98%），85 名（26%）正在接受 IV 液治疗。与未接受 IV 液治疗的患者相比，接受 IV 液治疗的患者中有 85%（85%）进行了血清电解质和肾功能检查，而接受 IV 液治疗的患者中有 65%（65%）进行了血清电解质和肾功能检查（P<0.001）。与未接受 IV 液治疗的患者相比，接受 IV 液治疗的患者中有 94%（94%）保留了液体平衡图，而接受 IV 液治疗的患者中有 44%（44%）保留了液体平衡图（P<0.001）。与未接受 IV 液治疗的患者相比，接受 IV 液治疗的患者中有 15%（15%）记录了体重，而未接受 IV 液治疗的患者中有 14%（14%）记录了体重（P=0.078）。研究结果表明，我们医院约有四分之一的成年病房患者接受 IV 液治疗。使用常规血液检查和液体平衡图监测这些患者的情况很高，但患者体重测量的比例较低。为什么需要维持 IV 液的住院患者没有定期进行体重测量，这需要进一步调查。
