维持性静脉输液的液体管理。
Fluid Stewardship of Maintenance Intravenous Fluids.
机构信息
Department of Pharmacy, St. Joseph's/Candler Health System, Savannah, GA, USA.
Department of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Albany, GA, USA.
出版信息
J Pharm Pract. 2022 Oct;35(5):769-782. doi: 10.1177/08971900211008261. Epub 2021 Apr 8.
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.
摘要
尽管在危重症患者中经常使用维持静脉输液（mIVF），但可用的指导有限。值得注意的是，由于 mIVF 管理不当导致的液体超负荷与患者的不良预后显著相关。液体管理的四项权利（正确的药物、正确的剂量、正确的持续时间、正确的患者）结构已被提出，用于安全评估和使用液体。本循证综述的目的是为临床医生提供有关 mIVF 选择、剂量和持续时间的实用见解，以符合液体管理的四项权利。
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