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Management of fluid and electrolytes case file


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Patients undergoing intestinal surgery are well known to require more fluid replacement than might otherwise be expected. This patient will no doubt have preoperative fluid deficits, because he has not been eating or drinking, and has also undergone a bowel prep. Intraoperatively, the patient will lose blood, and there is also likely to be a significant insensitive loss from the intestines exposed to air. Fluids—crystalloids or blood products—will be required to ensure the preservation of renal and cardiovascular function, maintaining urine output at normal levels.

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