Crystalloids and colloids in critical patient resuscitation

Garnacho‐Montero, José; Fernández-Mondéjar, E.; Ferrer-Roca, R.; Herrera-Gutiérrez, M.E.; Lorente, José A.; Ruiz‐Santana, Sergio; Artigas, Alfredo

doi:10.1016/j.medine.2015.05.002

Cited by 12 publications

(2 citation statements)

References 87 publications

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“…Esta acidosis metabólica hiperclorémica dilucional causa diversas alteraciones a nivel del medio interno, de la coagulación, cardiovascular, gastrointestinal, renal, del endotelio vascular [7][8][9][10] . Debemos tenerlo en cuenta antes de usarlo en pacientes con riesgo de desarrollar acidosis metabólica [11][12][13] o de empeorar su morbilidad como en la sepsis. 14 La solución salina fisiológica (SSF) o cloruro de sodio al 0,9% es el cristaloide no balanceado que se usa en nuestro país.…”

Section: Discussionunclassified

La solución salina fisiológica y su alta concentración de cloruro

Rojas

2019

Ciencia e investigación

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Introducción. El Cloruro de Sodio al 0,9% (¿Solución Salina Fisiológica?) es el cristaloide no balanceado de amplio uso en nuestro país. Es isotónica pero su composición dista mucho de ser fisiológico para el organismo humano. El ion cloruro es el electrolito más abundante después del sodio con un rol clave en la regulación de los fluidos corporales, balance electrolítico, la preservación de la electroneutralidad, del estado ácido básico y es un componente esencial de muchas condiciones patológicas. El objetivo del estudio es actualizar los conocimientos científicos sobre los efectos de administrar Cloruro de Sodio al 0,9% con su alta carga de cloruro. Metodología. Se realizó una búsqueda de artículos en Pubmed, no mayor a cinco años de su publicación, relativos a Cloruro de Sodio al 0,9% y acidosis hiperclorémica dilucional metabólica. Resultados. En esta revisión narrativa de la literatura científica se confirma que la infusión de Cloruro de Sodio al 0,9% con su alta carga de cloruro, prolongada y/o en un importante volumen, puede producir una acidosis dilucional hiperclorémica que afectaría el medio interno, la coagulación, el endotelio vascular, la función renal, cardiovascular, gastrointestinal. Conclusión. La alta carga de cloruro, en la Solución de Cloruro de Sodio al 0,9%, induce alteraciones evidentes en el organismo que se explican por la ley de electroneutralidad y constancia de iones en el plasma. El monitoreo del equilibrio hidroelectrolítico y estado ácido base es fundamental.

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Section: Discussionunclassified

La solución salina fisiológica y su alta concentración de cloruro

Rojas

2019

Ciencia e investigación

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“…It involves the administration of intravenous (IV) fluids, to nearly all hospitalized patients, for body fluid and electrolyte maintenance and as diluents for medications 2 . Relative benefits of crystalloids and colloid fluid resuscitation were controversial more than in the treatment of patients with hypovolemic shock 3 . Rapid intravenous fluid administration guidelines implementation contributed to the reduction of mortality due to hypovolemic shock over the years 4 .…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice towards intravenous fluid therapy in children among nurses in the pediatrics emergency department of selected public hospitals

Tolera,

Kasaye,

Abicho

2024

Sci Rep

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Morbidity and mortality in hospitalized patients can be increased due to errors that are caused by inadequate knowledge and unsatisfactory practice of intravenous (IV) fluid therapy among healthcare workers. The knowledge and practice of nurses are very critical to IV fluid therapy because they are the cornerstone of a subject. This study assessed nurse's knowledge and practice of IV fluid therapy. A cross-sectional study design was employed at four selected public hospitals in Addis Ababa, Ethiopia. Data were collected from 112 nurses using a structured questionnaire for knowledge and using an observational checklist for practice. Data were analyzed using SPSS version 26 computer programs. Most respondents (67%) were males; the mean age of respondents was 31.2 ± 4.3. Among participated nurses, 42% (95% CI 32.8, 51.2) and 56.3% (95% CI 47.1, 65.6) had inadequate knowledge and satisfactory practice regarding IV fluid therapy in children, respectively. A significant association was observed between nurses' intravenous fluid therapy knowledge and in-service training that nurses who had training on fluid therapy in children had 4 times adequate knowledge than those who had no training (P = 0.01), an educational qualification that master degree holders had 4.8 times adequate knowledge than first-degree holders (P = 0.04) and training institution that nurse who had taken training in governmental teaching institution had 4 times adequate knowledge than who had taken training in private teaching institution (P = 0.011). No statistically significant association was found between practice level and independent variables regarding IV fluid therapy. Nurses’ knowledge of IV fluid therapy was inadequate and practice was relatively satisfactory. Continuous education and training of nurses on IV fluid therapy should be conducted regularly to improve their knowledge and practice. Further research should be employed involving other hospitals and focusing on risk factors for knowledge and practice inadequacy that are not discussed in this study.

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