Fluid maintenance for otherwise well ‘nill by mouth’ patients undergoing elective surgery, may be a simple calculation of fluid and electrolyte requirement; calculating a rough requirement of sodium and potassium using the patient’s weight.
Sick patients are often far more complicated, with many more fluid and electrolyte losses and gains to consider. In this situation the patient may require large amounts of fluid with extra electrolyte supplementation or restriction. Regular patient reassessment is required including regular blood test results in order to guide electrolyte replacement.
It is paramount to recognise these sick patients and call for senior help early.
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