NICE Guidance on Intravenous Fluid Therapy in adults in Hospital (CG174)
The latest clinical guideline from NICE suggests that hospital staff often lack the relevant expertise and experience to routinely treat patients with intravenous (IV) fluids.
NICE has issued recommendations about the general principles for managing IV fluids, which include:
- The physiological principles that underpin fluid prescribing
- Pathophysiological changes that affect fluid balance in disease states
- Indications for IV fluid therapy
- Reasons for the choice of the various fluids available and
- Principles of assessing fluid balance
The scope of the guideline does not cover the practical aspects of the administration of IV fluids so, for instance, it does not provide information on the cannula, infusion giving sets, or managing the patency of the line.
Resuscitation of patients is a risk in all clinical settings, meaning the use of IV fluids is relevant for all clinical staff.