Review Article
Volume 4 Issue 6 - 2020
Principles of Intravenous Fluids Therapy
Monira Taha Ismail1,2* and Adel Hamed Elbaih1,2
1Assistant Professor of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
2Associate Professor of Emergency Medicine,Medical Science Department, Sulaiman Al-Rajhi University, Saudi Arabia
*Corresponding Author: Monira Taha Ismail, Assistant Professor of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt and Associate Professor of Emergency Medicine, Medical Science Department, Sulaiman Al-Rajhi University, Saudi Arabia.
Received: February 12, 2020; Published: May 08, 2020




Abstract

Introduction: The hospital ED is one of the most important components of the health care system. There is an increase in numbers of hypovolemic patients visiting EDs leading to overcrowding, long waiting time, missed diagnostic cases and negative impact on patient satisfaction. Hypovolemia is one of the most common reasons people call for emergency medical help. Fortunately, Fluid is about half of healthy adult body weight. Total body fluid in adult male is about 60% of lean body weight, and about 50% of lean body weight in female. Blood is about 11 - 12% of total body fluid. But even if the hypovolemic patients experience has nothing to do, the problem may still be important and worth the time spent in an emergency room for evaluation and intravenous fluids administration So we aimed to update knowledge and review researches in the field of fluids therapy and reduction in waiting time and Overcome Crowdness Patients in emergency department.

Methods: Collection of all possible available data about the intravenous fluids therapy in the Emergency department. By many research questions to achieve these aims so a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “principals of intravenous fluids therapy", "fluids and electrolytes”. All studies introduced that the intravenous fluids therapy is a serious conditions that face patients of the emergency and critical care departments. Literature search included an overview of recent definition, causes and recent therapeutic strategies.

Results: Hypovolemic state can be diagnosed when there are signs and symptoms of hemodynamic compromise and there is apparent source of blood loss. It not easy to diagnose when there is occult blood loss, as internal hemorrhage, into the alimentary tract, or when plasma volume alone is lost. And in all cases should be given fluids therapy for resuscitations firstly.

Conclusion: "Prevention is better than cure" Decline in death rates could be achieved by proper lifesaving interventions by good fluids therapy administrations and then proper approach to determine the causes of hypovolemia in emergency department.

Keywords: Management; Hypovolemia; Fluids Therapy

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Citation: Monira Taha Ismail and Adel Hamed Elbaih. “Principles of Intravenous Fluids Therapy”. EC Emergency Medicine and Critical Care 4.6 (2020): 24-46.

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