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- W1585751019 abstract "Publisher Summary This chapter discusses several intravenous infusions and their adverse effects. Dextran is widely used in plastic surgery, but acute renal insufficiency is rare. Administering replacement fluids before checking renal function could lead to life-threatening fluid overload. Withdrawal of dextran should be considered if there is persistent oliguria or a rise in creatinine or urea concentrations. Treatment of dextran-induced acute renal insufficiency should comprise temporary hemodialysis alternating with plasmapheresis, to remove dextran molecules from the blood. Calcium is normally considered to be safe in parenteral nutrition, and relatively high quantities are often included in neonatal and pediatric formulations. However, there is a risk of hypercalciuria; although the cause is unknown, it has been postulated as being caused by excessive calcium or vitamin D intake or aluminium overload. There is a risk of gastroesophageal reflux during nasogastric feeding, especially in mechanically ventilated and sedated patients. Gastroesophageal reflux during enteral nutrition is caused by a number of factors, including the presence of the nasogastric tube, the supine position, leakage from the tube at the teeth, and the administration of sucralfate." @default.
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- W1585751019 date "2002-01-01" @default.
- W1585751019 modified "2023-09-24" @default.
- W1585751019 title "Intravenous infusions: solutions and emulsions" @default.
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- W1585751019 doi "https://doi.org/10.1016/s0378-6080(02)80041-1" @default.
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