Maintenance fluid management in pediatrics: Current practice and quality improvement achievements

被引:4
作者
Sensing, Wendla [1 ]
Wenker, Megan [1 ]
Whitney, Eric [1 ]
机构
[1] Wright State Univ, Dayton Childrens Hosp, Boonshoft Sch Med, Dayton, OH 45435 USA
关键词
HOSPITALIZED CHILDREN; HYPERCHLOREMIA; MORTALITY; WATER;
D O I
10.1016/j.cppeds.2021.100996
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The long-standing use of hypotonic fluids in pediatric maintenance fluids has been challenged in recent years due to concerns over iatrogenic hyponatremia causing morbidity and mortality. Newer research has highlighted the safety of isotonic fluid alternatives. The American Academy of Pediatrics published an evidenced-based Clinical Practice Guideline in December of 2018 (Feld et al., 2018) to support the routine use of isotonic solutions in pediatric maintenance fluids. This article will also highlight relevant history, current practice, and a quality improvement project to standardize isotonic fluid use in the inpatient pediatric setting.
引用
收藏
页数:5
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