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Table 1

Evaluation and monitoring parameters that may be used for patients receiving fluid therapy include:

General principles and patient assessment

The assessment of patient history, chief complaint, and physical exam findings will determine the need for additional testing and fluid therapy. Assess for the following three types of fluid disturbances:

Changes in fluid content

Patients with body fluid content changes include those with electrolyte disturbances, blood glucose alterations, anemia, and polycythemia. Patient assessment will dictate patient fluid content needs.

Changes in fluid volume

The physical exam will help determine if the patient has whole body fluid loss (e.g., dehydration in patients with renal disease), vascular space fluid loss (e.g., hypovolemia due to blood loss), or hypervolemia (e.g., heart disease, iatrogenic fluid overload)

Fluids and anesthesia

One of the most common uses of fluid therapy is for patient support during the perianesthetic period. Decisions regarding whether to provide fluids during anesthesia and the type and volume used depend on many factors.

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