Fluid and electrolyte management for the surgical patient.

Surg. Clin. North Am. · Apr 2012

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Fluid and electrolyte management for the surgical patient.

For surgical patients, appropriate selection and administration of fluids can mitigate against organ failure, whereas improper dosing can exacerbate already injured systems. Fluid and electrolyte goals and deficiencies must be defined for individual patients to provide the appropriate combination of resuscitation and maintenance fluids. Specific electrolyte abnormalities should be anticipated, identified, and corrected to optimize organ functions. Using the strong-ion approach to acid-base assessment, delivered fluids that contain calculated amounts of electrolytes will interact with the patient's plasma charge and influence the patient's pH, allowing the clinician to achieve a more precise end point.

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- Greta L Piper and Lewis J Kaplan.
- Department of Surgery, Yale University School of Medicine, New Haven, CT 06520, USA.
- Surg. Clin. North Am. 2012 Apr 1;92(2):189-205, vii.
AbstractFor surgical patients, appropriate selection and administration of fluids can mitigate against organ failure, whereas improper dosing can exacerbate already injured systems. Fluid and electrolyte goals and deficiencies must be defined for individual patients to provide the appropriate combination of resuscitation and maintenance fluids. Specific electrolyte abnormalities should be anticipated, identified, and corrected to optimize organ functions. Using the strong-ion approach to acid-base assessment, delivered fluids that contain calculated amounts of electrolytes will interact with the patient's plasma charge and influence the patient's pH, allowing the clinician to achieve a more precise end point.Copyright Â© 2012 Elsevier Inc. All rights reserved.

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Fluid and electrolyte management for the surgical patient.

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