PMID: 15373958Sep 18, 2004Paper

Fluid, electrolytes and nutrition: physiological and clinical aspects

The Proceedings of the Nutrition Society
Dileep N Lobo

Abstract

Fluid and electrolyte balance is often poorly understood and inappropriate prescribing can cause increased post-operative morbidity and mortality. The efficiency of the physiological response to a salt or water deficit, developed through evolution, contrasts with the relatively inefficient mechanism for dealing with salt excess. Saline has a Na+:Cl- of 1:1 and can produce hyperchloraemic acidosis, renal vasoconstriction and reduced glomerular filtration rate. In contrast, the more physiological Hartmann's solution with a Na+:Cl- of 1.18:1 does not cause hyperchloraemia and Na excretion following infusion is more rapid. Salt and water overload causes not only peripheral and pulmonary oedema, but may also produce splanchnic oedema, resulting in ileus or acute intestinal failure. This overload may sometimes be an inevitable consequence of resuscitation, yet it may take 3 weeks to excrete this excess. It is important to avoid unnecessary additional overload by not prescribing excessive maintenance fluids after the need for resuscitation has passed. Most patients require 2-2.5 litres water and 60-100 mmol Na/d for maintenance in order to prevent a positive fluid balance. This requirement must not be confused with those for resuscita...Continue Reading

References

Jan 1, 1976·Resuscitation·L O Lamke, S O Liljedahl
Sep 1, 1977·Annals of Surgery·H H Stone, J T Fulenwider
May 1, 1992·The American Review of Respiratory Disease·J P MitchellD P Schuster
Jan 1, 1989·Annals of Emergency Medicine·R H GreenfieldP L Henneman
Sep 1, 1973·British Journal of Anaesthesia·C T Flear, C M Singh
Nov 30, 1970·JAMA : the Journal of the American Medical Association·K G Wakim
Dec 1, 1983·Annals of Surgery·P M StarkerJ M Kinney
Jul 1, 1981·Physiological Reviews·K Aukland, G Nicolaysen
Sep 1, 1981·The British Journal of Surgery·S F Tindall, R G Clark
Dec 1, 1981·Veterinary Research Communications·N G GregoryR D Lovell
Jan 1, 1996·The Journal of Emergency Medicine·M B HellerJ W Patterson
Apr 1, 1996·Nutrition·S Allison
Sep 1, 1996·Nutrition·S Allison
Dec 1, 1996·Intensive Care Medicine·D K HeylandD J Cook
Jul 1, 1997·British Journal of Anaesthesia·R G Hahn, C Svensén
May 29, 1998·British Journal of Anaesthesia·R G Hahn, D Drobin
May 20, 1999·BMJ : British Medical Journal·N Lane, K Allen
Aug 7, 1999·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·R M PolitzerC Bazell
Dec 1, 1999·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·D N LoboS P Allison
Jun 24, 2000·Annals of the New York Academy of Sciences·L D Plank, G L Hill
May 1, 2001·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·D N LoboS P Allison
Jul 28, 2001·Clinical Science·G C KramerUNKNOWN Editorial Board
Oct 2, 2001·The British Journal of Surgery·G SandersA W Lambert

❮ Previous
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Citations

May 8, 2010·The British Journal of Nutrition·Emanuele CeredaUNKNOWN PIMAI Group
Jul 29, 2005·The Proceedings of the Nutrition Society·S P Allison
Nov 28, 2009·International Journal of Colorectal Disease·Goran MarjanovicRobert Obermaier
Feb 2, 2008·Wiener klinische Wochenschrift·Sonja FruhwaldHelfried Metzler
Mar 2, 2006·Der Anaesthesist·Y A ZausigB M Graf
Jan 21, 2011·Indian Journal of Cancer·S MyatraS V Shrikhande
Jan 1, 2010·World Journal of Surgery·Philip J J HerrodDileep N Lobo
Nov 23, 2006·Intensive Care Medicine·Sonja FruhwaldHelfried Metzler
Dec 5, 2009·The Journal of Surgical Research·Shinil K ShahCharles S Cox
Jan 23, 2009·The British Journal of Surgery·K Lassen
Jun 1, 2007·International Journal of Clinical Practice·S R WalshE C Coveney
Apr 1, 2008·Journal of Evaluation in Clinical Practice·Oliver C Allenby-SmithNicholas J Carty
Jul 21, 2010·Critical Care Clinics·Krishna K VaradhanOlle Ljungqvist
Nov 4, 2006·Best Practice & Research. Clinical Anaesthesiology·Dileep N LoboSimon P Allison
Sep 28, 2015·Critical Care Clinics·Michael E O'Connor, John R Prowle
Dec 15, 2010·Anais Da Academia Brasileira De Ciências·Patricia D S SpadaMirian Salvador
Apr 7, 2006·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Nancy M Saufl, Nancy Strzyzewski
Jul 17, 2009·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sonsoles García-RodicioMiguel Angel Catalá
Sep 26, 2006·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Denise H Rhoney, Dennis Parker
Jan 24, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mikaela L GarlandNicholas J Lightfoot
Feb 18, 2005·Current Opinion in Clinical Nutrition and Metabolic Care·David Al MacafeeDileep N Lobo
Feb 13, 2009·Annals of Surgery·Goran MarjanovicRobert Obermaier
Feb 13, 2009·Annals of Surgery·Dileep N Lobo
Feb 3, 2016·Pediatric Emergency Care·Marjolein Mattheij, Niels Van Regenmortel
Feb 14, 2009·The Journal of International Medical Research·J L SlavinG Fotopoulos
Oct 22, 2009·Journal of Perioperative Practice·Rebecca Johnson, Simon Monkhouse
Nov 5, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Santiago Campos Miño
Aug 5, 2016·Langenbeck's Archives of Surgery·Daniel GeroDieter Hahnloser
Apr 10, 2020·Internal Medicine Journal·Kate FetterplaceEmma Ridley
Jun 18, 2011·Current Opinion in Clinical Nutrition and Metabolic Care·Abeed H Chowdhury, Dileep N Lobo
Dec 23, 2016·Gynecological Surgery·Sameer UmranikarUNKNOWN British Society for Gynaecological Endoscopy /European Society for Gynaecological Endoscopy Guideline Development Group for
Dec 26, 2017·Nutrition and Healthy Aging·Dominic PicettiGohar Azhar
Aug 3, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Leslee HasilChelsia Gillis

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