Gross Whitney, Samarin Michael, Kimmons Lauren A
Methodist University Hospital, Memphis, Tennessee.
Crit Care Nurs Q. 2017 Oct/Dec;40(4):309-322. doi: 10.1097/CNQ.0000000000000170.
Fluid administration is one of the most universal interventions in the intensive care unit; however, there remains a lack of optimal fluid choice in clinical practice. With increasing evidence suggesting that the choice and dose of fluid may influence patient outcomes, it is important to have an understanding of the differences between the various fluid products and these potential effects in order for nurses to navigate the critically ill patient. This article reviews properties, adverse effects, and monitoring of commonly used colloid and crystalloid fluids, providing information that may aid in fluid selection in the intensive care unit.
液体输注是重症监护病房中最普遍的干预措施之一；然而，临床实践中仍然缺乏最佳的液体选择。越来越多的证据表明，液体的选择和剂量可能会影响患者的预后，因此了解各种液体产品之间的差异以及这些潜在影响对于护士照顾重症患者至关重要。本文综述了常用胶体液和晶体液的特性、不良反应及监测，提供有助于重症监护病房液体选择的信息。
