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- W2055146576 abstract "Preterm infants are particularly vulnerable to the effects of fluid mismanagement due to shifts between intracellular, extracellular and vascular compartments; inappropriate fluid administration may lead to electrolyte imbalances, with the potential for serious morbidity. To determine whether preterm babies are receiving the volume of IV fluid prescribed by a doctor, as indicated in the neonatal guidelines. A retrospective study of hospital notes was carried out using a pro forma to collect data. The study sample (n = 35) consisted of all preterm babies <32 weeks admitted to ITU between July and December 2013. Mean fluid intake, including and excluding lipids, was calculated and compared to volume prescribed. It was categorised as correct (±1.0 ml/kg/24 h prescribed volume), too much or too little. 27/37 notes were available for analysis; 23 were suitable for the audit. On average 22% (n = 5) babies received the correct volume of fluid, 22% (n = 5) received too much, 56% (n = 13) received too little (mean deficit: 3.89 ml/kg/24 h). 21 babies received lipids; with lipid inclusion 4% (n = 1) received the correct volume, 86% (n = 18) received too much (mean excess 5.51 ml/kg/24 h), 10% (n = 2) received too little. There was no correlation between fluid accuracy and age of baby. Most babies receive total daily fluids within 6 ml of the volume prescribed yet few receive the correct volume to the nearest ml/kg/24 h. The inclusion of lipids in daily totals shifted the trend from under to over administration of fluid; clarification is required on whether this is significant enough to require lipid inclusion in daily totals." @default.
- W2055146576 created "2016-06-24" @default.
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- W2055146576 date "2014-06-01" @default.
- W2055146576 modified "2023-10-14" @default.
- W2055146576 title "Audit for IV fluid requirement in preterm babies in Sunderland Royal Hospital (SRH)" @default.
- W2055146576 doi "https://doi.org/10.1016/j.jnn.2014.03.001" @default.
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