Review examines inappropriate prescribing of IV fluids

Review examines inappropriate prescribing of IV fluids

(HealthDay)—Inappropriate prescribing of intravenous (IV) fluids most often involves incorrect volumes and types of IV fluids prescribed, according to a review published online June 11 in the Journal of Clinical Pharmacy and Therapeutics.

X. Gao, from The First Affiliated Hospital in Guangzhou, China, and colleagues conducted a systematic review to examine inappropriate prescribing of IV in adult patients.

The researchers found that the most common type of inappropriate prescribing was incorrect volumes and types of IV fluids prescribed, classified as misprescribing. Patients on IV fluid therapy were often prescribed a greater volume of fluid and amount of sodium in excess of normal requirements. Before prescribing IV fluids, doctors did not always check body weight, serum electrolyte level, and . Incomplete/incorrect prescription writing was also another common type of inappropriate prescribing. Insufficient knowledge and training of prescribers could cause these common inappropriate prescribing practices. Ignorance of the importance of IV fluid also contributed to inappropriate prescribing behaviors.

"There is an urgent need to make doctors aware of these problems and enhance appropriate training on IV fluid prescribing, especially on the appropriate volume and amount of electrolytes," the authors write. "Pharmacists could exert a role in reviewing the fluid prescription chart for improving clinical practice."


Explore further

Too many heart failure patients are treated with IV fluids, study finds

More information: Abstract
Full Text

Copyright © 2015 HealthDay. All rights reserved.

Citation: Review examines inappropriate prescribing of IV fluids (2015, June 17) retrieved 17 September 2019 from https://medicalxpress.com/news/2015-06-inappropriate-iv-fluids.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
4 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more