Loading...
Target Population: Medical and surgical patients aged 28 days to 18 years on critical care and general inpatient services
Background and Objective
Children requiring maintenance intravenous fluids (IVFs) have long been given hypotonic solutions such as quarter or half normal saline. Concerns about iatrogenic hyponatremia have led to growing use of isotonic solutions instead. The AAP's Subcommittee on Fluid and Electrolyte Therapy performed a systematic review of the literature, which they used to inform the creation of a clinical practice guideline on the tonicity of pediatric maintenance IVFs.
Key Recommendation
Patients aged 28 days to 18 years requiring maintenance IVFs should …