Prescribing intravenous fluids: a review

Abstract

This article highlights the multitude of considerations when prescribing intravenous fluids from the perspective of a trainee advanced practitioner, and emphasises that reassessment of the patient is key to safe fluid administration. Having identified that the practice of prescribing intravenous fluids is commonplace in acute care, this article will explore the level of training and education provided to clinicians, and highlights the importance of undertaking a systematic approach in assessing and decision making. In addition, this article will discuss the complexities of prescribing fluids and examine the considerations required for the assessment of fluid status, methods of determining the most appropriate fluid regime and selection of fluid for the patient, and the available evidence and guidance to aid decision making.