Initially, the IV fluid management plan should be reviewed by an expert daily.The fluid and electrolyte prescription over the next 24 hours.Patients should have an IV fluid management plan, which should include details of:.If patients need IV fluids to address existing deficits or excesses, ongoing abnormal losses or abnormal fluid distribution, follow Algorithm 4: Replacement and redistribution.If patients need IV fluids for routine maintenance, follow Algorithm 3: Routine maintenance.If patients need IV fluids for fluid resuscitation, follow Algorithm 2: Fluid resuscitation.Assess patients' fluid and electrolyte needs following Algorithm 1: Assessment.Offer IV fluid therapy as part of a protocol (see Algorithms for IV fluid therapy in the full version of the guideline document ):.When prescribing intravenous (IV) fluids, remember the 5 Rs: Resuscitation, Routine maintenance, Replacement, Redistribution and Reassessment.Principles and Protocols for Intravenous Fluid Therapy The following recommendations have been identified as priorities for implementation. These are available on the NICE Web site (see also the 'Availability of Companion Documents' field).
The National Institute for Health and Care Excellence (NICE) has developed tools to help organisations implement this guidance.
