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KMID : 0381219700020110033
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Journal of RIMSK
1970 Volume.2 No. 11 p.33 ~ p.39
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THE PRACTICE OF FLUID ADMINISTRATION
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Abstract
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Fluids may be administered by mouth, by intermittent or continuous gavage, by vein or by the subcutaneous route. The oral route has all of the obvious advantages. The intravenous route is convenient, and the rate of the administration of fluid is of some significance when the intravenous
route is employed. This is of some importance with patients that may have cardiovascular disease in whom a rapid infusion of fluid may precipitate pulmonary edema and other manifestations of congestive heart failure. Therefore, the alternative subcutaneous route may occasionally have some advantages over intravenous infusions, especially in patients with heart disease.
The primary goals of therapy of dehydration are usually single. They include the restoration of body fluids to normal with respect of volume, effective osmolarity, composition and. acid-base relationships. The character and volume of fluid necessary to satisfy these goals are dependent on the analysis of the characteristics of the dehydration in question.
The peculiar details can be appreciated only when the spesific requirements for repair of the dehydration in a particular patient are considered.
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