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On-going lessons in fluid prescription: assessment of adherence to weight-based intravenous fluid prescribing in medical inpatients

Cocker, Derek, Sloan, Derek, Carlin, Ffion, Marks, Eileen and Beadsworth, Mike (2015) 'On-going lessons in fluid prescription: assessment of adherence to weight-based intravenous fluid prescribing in medical inpatients'. Clinical medicine (London, England), Vol 15, Issue 5, pp. 503-504.

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Abstract

Letters not directly related to articles published in Clinical Medicine and presenting unpublished original data should be submitted for publication in this section. Clinical and scientific letters should not exceed 500 words and may include one table and up to five references.

Introduction
Attention to detail in the prescription of intravenous (IV) fluids for medical and surgical inpatients is often less rigorous than for other drugs, with errors in fluid volume, composition and rate being commonplace.1–2

As part of a review of fluid prescribing and fluid balance we introduced a weight-based fluid prescribing policy, in a large adult teaching hospital. Including algorithms, this largely mirrors the recent NICE guidance (2014).1 Medical inpatients were prospectively assessed for adherence to local and subsequent national guidance, over four consecutive time points (May 2010, Spetember 2010, February 2013 and August 2014). Tailored education and campaigns were introduced. We report our findings, highlighting the ongoing problems in fluid prescribing.

Item Type: Article
Additional Information: Subjects: SM Access: SM note: this is a letter to editor
Subjects: WB Practice of Medicine > Therapeutics > WB 300 General works
WB Practice of Medicine > Therapeutics > WB 340 Drug Administration
WZ History of Medicine. Medical Miscellany > WZ 40 General works
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.7861/clinmedicine.15-5-503
Related URLs:
Depositing User: Stacy Murtagh
Date Deposited: 01 Mar 2016 12:19
Last Modified: 06 Feb 2018 13:12
URI: https://archive.lstmed.ac.uk/id/eprint/5712

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