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Fluid replacement or fluid resuscitation is the medical practice of replenishing bodily fluid lost through sweating, bleeding, fluid shifts or other pathologic processes. . Fluids can be replaced with oral rehydration therapy (drinking), intravenous therapy, rectally such as with a Murphy drip, or by hypodermoclysis, the direct injection of fluid into the subcutaneous tis
Intravenous therapy (abbreviated as IV therapy) is a medical technique that administers fluids, medications and nutrients directly into a person's vein.The intravenous route of administration is commonly used for rehydration or to provide nutrients for those who cannot, or will not—due to reduced mental states or otherwise—consume food or water by mouth.
The prescribing of hypertonic IV therapy decreased the mortality rate of cholera to 40%, from 70%. In the West, IV therapy became the "gold standard" for the treatment of moderate and severe dehydration. [43] In 1953, Hemendra Nath Chatterjee published in The Lancet the results of using ORT to treat people with mild cholera. [44]
Ideally, patients should be reassessed every fifteen to thirty minutes until a strong radial pulse is present, and thereafter, assessed at least hourly to confirm that hydration is improving. Hopefully, patients will graduate to the medium dehydration or "some" dehydration category and receive continued treatment as above. [1]
In some cases, correction of a dehydrated state is accomplished by the replenishment of necessary water and electrolytes (through oral rehydration therapy, or fluid replacement by intravenous therapy). As oral rehydration is less painful, non-invasive, inexpensive, and easier to provide, it is the treatment of choice for mild dehydration. [45]
The use of standardized parenteral nutrition solutions is cost-effective and may provide better control of serum electrolytes. [40] Ideally each patient is assessed individually before commencing on parenteral nutrition, and a team consisting of specialised doctors, nurses, clinical pharmacists , and registered dietitians evaluate the patient's ...
After IV rehydration is completed, patients typically begin to tolerate frequent small liquid or bland meals. After rehydration, treatment focuses on managing symptoms to allow normal intake of food. However, cycles of hydration and dehydration can occur, making continuing care necessary.
This procedure is expensive; in the United States, it may cost over $200,000 annually. [10] The distribution of the therapeutic enzyme in the body ( biodistribution ) after these IV infusions is not uniform. [ 10 ]
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