210 Chapter 7 Documentation of Intravenous Fluid Therapy Intravenous fluid therapy entries were found in multiple sections of the electronic patient files. Nearly two-thirds (n=196/329; 60%) of the patients with an intravenous access received intravenous fluids during the previous 24 hours of admission. In 97% of cases (n=190/196), the prescribers did not document the indication for intravenous fluid therapy. Conversely, nurses documented the indication in 40 cases (20%). Table 3 Characteristics of the patients from the chart reviews Teaching hospitals University hospital General hospital All (%) Patients (n, %) 251 (69.3) 86 (23.8) 25 (6.9) 362 (100) Age (median, [IQR]) 70 [58-78] 65 [50-72] 75 [68.5-84.5] 69 [58-77] Sex (female %) 122 (48.6) 33 (38.4) 14 (56.0) 169 (46.7) Ward Surgical 100 (39.7) 50 (57.5) 0 150 (41.4) Mixed 49 (19.4) 36 (42.5) 25 (100) 110 (30.4) Non-surgical 102 (40.5) 0 0 102 (28.2) Intravenous access in situ Kind of access not registered 5 (2.0) 8 (9.3) 3 (12.0) 16 (4.4) PVC 221 (88.0) 56 (65.1) 18 (72.0) 295 (81.5) CVC 4 (1.6) 2 (2.3) 0 6 (1.7) PICC 6 (2.4) 5 (5.8) 1 (4.0) 12 (3.3) No access 15 (6.0) 15 (17.4) 3 (12.0) 33 (9.1) Intravenous fluids administered during the previous 24h 135 (53.8) 51 (59.3) 10 (40.0) 196 (54.1) Continuous 133 (53.0) 48 (55.8) 10 (40.0) 191 (52.8) Bolus injection 6 (2.4) 3 (3.5) 0 9 (2.5) Type of fluid* Sodium Chloride 0.9%† 119 (88.1) 41 (80.4) 8 (80.0) 168 (85.7) Ringer's Lactate† 9 (6.7) 2 (3.9) 2 (20.0) 13 (6.6) Unknown† 7 (5.2) 8 (15.7) 0 15 (7.7) Keep-the-vein-open Fluid rate < 30 ml/h† 49 (36.3) 10 (19.6) 2 (20.0) 61 (31.1) Unknown fluid rate† 53 (39.3) 17 (33.3) 5 (50.0) 75 (38.3) Fluid rate >30 ml/h† 33 (24.4) 24 (47.1) 3 (30.0) 60 (30.6) PVC= Peripheral Venous Catheter. CVC= Central Venous Catheter. PICC= Peripherally inserted Central Catheter. †Percentages calculated from “Intravenous fluids administered during the previous 24h”.
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