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VOL. 4, ISSUE 11 (2018)
Post-operative intravenous fluid therapy in adults: Are we falling short of GIFTASUP guideline?
Authors
Sowrav Barman, Husna Bholah, Stephen Pettit
Abstract
Managing perioperative patients on intravenous fluid therapy is a common medical task. Poor fluid management can result in serious morbidity due to excessive fluids or under resuscitation. The purpose of this study is to assess quality of post-operative IV fluid prescriptions and documentation of IV fluid plans in adult surgical patient against British Consensus guideline. Thirty post-operative patients were studied prospectively on fluid prescribed, occurrence of post-operative ileus, stoma or vomiting and on clear documentation of weight and monitoring of fluid status. Plasmalyte was prescribed in 89% of cases for resuscitation purpose.33% patient with post-operative vomiting had normal saline prescribed.69% patient with postoperative ileus or stoma had plasmalyte prescribed. 52% fluid balance chart and 4% clinical notes had documentation regarding weight and clinical examination respectively. It is evident that standards are not being met locally and further implementation of the GIFTASUP guideline is expected to enhance patient outcome post-operatively.
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Pages:104-106
How to cite this article:
Sowrav Barman, Husna Bholah, Stephen Pettit "Post-operative intravenous fluid therapy in adults: Are we falling short of GIFTASUP guideline?". International Journal of Medical and Health Research, Vol 4, Issue 11, 2018, Pages 104-106
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