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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Fluid Balance in Critically Ill Children Admitted in PICU

Author: V. REDDY, R.J. MESHRAM, S.S. CHAUDHARI
Abstract: Background: One of the most important aspects of seriously ill patients in PICU is fluid balance. Even though aggressive and early fluid administration during resuscitation is life saving and commonly done, fluid in excess is harmful. Objectives: 1. To study role of fluid balance in mortality in PICU. 2. To study the role of fluid balance in morbidity in PICU. Methodology: All seriously ill cases admitted in the PICU will be included after taking consent and satisfying the inclusion and exclusion criteria. Their detailed history, examination, investigations and diagnosis will be recorded in the proforma. Documentation of fluid intake and output will be done for all the patients daily. All patients after initial fluid resuscitation; receive maintenance fluids like isotonic fluids (DNS) in most cases. The initial calculation of fluids to be administered, input and output balance, correction of insensible losses will be done according to the PICU protocol. Fluid overload percent = [total fluid input in 24 hrs(ml) – total fluid output in 24 hrs(ml)/weight on admission(kg)] x 100. Sum of total fluid balances till that day gives Cumulative balance. Results: Fluid balance is calculated daily and cumulative values are found. Clinical course and outcome of these patients will be studied. Conclusion: Fluid balance is necessary for management of critically ill children. The optimum fluid requirement at which the outcome of patients maintain normal homeostasis is estimated.
Keyword: Fluid balance, Fluid Overload, Fluid restriction, Mechanical ventilation, Mortality
DOI: https://doi.org/10.31838/ijpr/2019.11.03.160
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