Hyponatraemia and hypokalaemia during intravenous fluid administration.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 17213261.
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Abstract
Hospital-acquired hyponatraemia is associated with excessive volumes of hypotonic intravenous fluids and can cause death or permanent neurological deficit. A cross-sectional survey was carried out in 17 hospitals on all children receiving intravenous fluids during 1 day of a specified week in December 2004. 77 of 99 children receiving intravenous fluids received hypotonic solutions and 38% received >105% of fluid requirements. 21 of 86 children were hyponatraemic, but the electrolytes of only 79% had been checked in the preceding 48 h. Intravenous fluids should be used with caution as regards the tonicity and volume administered, and with appropriate monitoring of serum electrolytes.
Medical subject headings
- Fluid Therapy
- Hypokalemia
- Hyponatremia
- Hypotonic Solutions