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Updated: Nov 9, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Fluid Stewardship of Maintenance Intravenous Fluids
John R Carr1, W Anthony Hawkins2,3, Andrea Sikora Newsome4,5
1Department of Pharmacy, St. Joseph's/Candler Health System, Savannah, GA, USA.
None:
Despite the frequent use of maintenance intravenous fluids (mIVF) in critically ill patients, limited guidance is available. Notably, fluid overload secondary to mIVF mismanagement is associated with significant adverse patient outcomes. The Four Rights (right drug, right dose, right duration, right patient) construct of fluid stewardship has been proposed for the safe evaluation and use of fluids. The purpose of this evidence-based review is to offer practical insights for the clinician regarding mIVF selection, dosing, and duration in line with the Four Rights of Fluid Stewardship.
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