Clinical Guideline Highlights for the Hospitalist: The Use of Intravenous Fluids in the Hospitalized Adult
GUIDELINE TITLE: Intravenous Fluid Therapy in Adults in Hospital
RELEASE DATE: December, 2013
PRIOR VERSION: Not Applicable
DEVELOPER: Multidisciplinary Guideline Development Group within the United Kingdom’s National Clinical Guideline Centre
FUNDING SOURCE: National Institute for Health and Care Excellence
TARGET POPULATION: Hospitalized adult patients
© 2019 Society of Hospital Medicine
AREAS IN NEED OF FUTURE STUDY
More evidence is needed to better understand the appropriate use of IVF in specific clinical scenarios, including to determine if balanced solutions, as compared with isotonic saline, are superior across a spectrum of clinical conditions. For patients with an indication for maintenance fluid administration, determining if a higher sodium content reduces the risk of hyponatremia without increasing the risk of volume overload will help guide practice. Finally, more comprehensive study of the incidence of overuse and complications as a consequence of IVF, as well as the optimal frequency of lab monitoring, is needed to guide understanding of how practicing hospitalists and health systems can help reduce harm and waste
Disclosures
The authors have nothing to disclose.
