Fluid Therapy Management in Hospitalized Patients: Results From a Cross-sectional Study

Brugnolli, Anna; Canzan, Federica; Bevilacqua, Alessia; Marognolli, Oliva; Verlato, Giuseppe; Vincenzi, Silvia; Ambrosi, Elisa

doi:10.1016/j.clinthera.2016.12.013

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…The correct assessment of hydration status in critically ill patients is still complex. Fluid and electrolyte disturbances significantly affect prognosis, while maintaining the balance is the main challenge in the care and treatment of all patients.Perioperative haemodynamic optimization using goal-directed fluid therapy (GDFT) has been correlated with improvedpostoperative outcomes following moderate to major risk surgeries (1,9). Urine output is a vital sign for patients.…”

Section: Discussionmentioning

confidence: 99%

“…Accurate fluid management in patients admitted to the surgical units is still one of the most challenging and important tasks for the surgical team. Intravenous (IV) fluid therapy is given to managing fluid volume shortage/excess, fluid losses, or electrolyte and acid-base imbalances (1). Fluid and electrolyte disorders are seen as the most common clinical problem in the perioperative period.…”

Section: Introductionmentioning

confidence: 99%

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Is standard urine bag or urofix? Which is more usefully in surgical nursing care?

Yıldız

Yazıcı

Türker

et al. 2020

Clinical and Experimental Health Sciences

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Objective: The aim of this study is to evaluate and compare the accuracy of urine output measurement performed by standard urine bags and urofix.Methods: This is a prospective study conducted at a 22-bed urology unit. Urine volume was measured either by a standard urine bag or urofix, verified by scaled container measurements in patients dressed with urinary catheter and expected to stay with it for 24 hours or more. In total, 1048 measurements were obtained for 131 patients. Results:The difference between median, maximum and minimum values of urine volumes from the scaled container and nurse's forecast was evaluated for each of 4 measurements. When the urine volume was measured with the standard urine bag, the average volume was 550 cc in the first measurement while it was 300 cc with urofix. Mean values for the second, third and fourth measurements with standard urine bag and urofix were as follows respectively; 590 cc and 335 cc, 500 cc and 300 cc, 600 cc and 300 cc. The difference was statistically significant in all measurements (p<0.001). Conclusion:In this study, urofix was the most reliable method for measuring urine output and fluid management. Furthermore, if the patient has a standard urine bag, it is recommended to confirm the urine output with a scaled container.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is standard urine bag or urofix? Which is more usefully in surgical nursing care?

Yıldız

Yazıcı

Türker

et al. 2020

Clinical and Experimental Health Sciences

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“…Given the data presented above, there are clearly many differences in fluid intake records and data collection methods, and therefore it is difficult to determine the actual water intake profile of older people. In addition, it is known that there are also other ways to record water balance, such as measuring urine output, which have not been reflected in these studies [31]. However, knowing that such methods may not be appropriate for this population due to the health conditions that often accompany aging (e.g., urinary incontinence and dementia) [32], it is true that the evidence suggests that 24 h urine osmolality is a good indicator of proper hydration status in adults.…”

Section: Fluid Intake Of the Elderlymentioning

confidence: 99%

Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review

et al. 2020

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The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people over 65 years old at different care levels. The results show that the mean fluid intake ranges between 311 and 2390 mL/day. However, it is difficult to know whether this corresponds to the real pattern of fluid intake, due to the variability of data collection methods. With respect to the recommendations, most international organizations do not take into consideration the physiology of ageing or the health problems associated with an older population. In conclusions, we recommend to follow the guideline of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Food Safety Authority (EFSA). ESPEN is the only guideline which takes into account age. It is also based on EFSA recommendations. This authority takes into consideration all fluids consumed (ranging from food to fluids). If it is known that around 20% of all fluids consumed come from food, the result would effectively be that the EFSA recommends the same as the ESPEN guidelines: 1.6 L/day for females and 2.0 L/day for males. The findings could help raise the awareness of professionals in the sector with respect to the required fluid intake of the elderly and, in this way, contribute to avoiding the consequences of dehydration.

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A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark

Sindahl

Overgaard-Steensen

Kildemoes

et al. 2021

International Emergency Nursing

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Fluid Therapy Management in Hospitalized Patients: Results From a Cross-sectional Study

Cited by 3 publications

References 17 publications

Is standard urine bag or urofix? Which is more usefully in surgical nursing care?

Is standard urine bag or urofix? Which is more usefully in surgical nursing care?

Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review

A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark

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