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ACB-CLINICAL-PRACTICE  April 2010

ACB-CLINICAL-PRACTICE April 2010

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Subject:

Re: Fluid balance

From:

Trevor Gray <[log in to unmask]>

Reply-To:

[log in to unmask]

Date:

Fri, 30 Apr 2010 14:07:37 +0100

Content-Type:

text/plain

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text/plain (54 lines)

I did at one stage consider a randomised trial of a special "intervention team" triggered by lab. results versus usual care. With the country's largest orthopaedics unit there was plenty of scope! However, I don't have the time due to other commitments but if anybody wants to take it on it might be interesting.

Trevor Gray

Dr. T.A. Gray
Consultant Chemical Pathologist
Northern General Hospital,
Sheffield S5 7AU
0114 271 4309
[log in to unmask]


-----Original Message-----
From: ACB Clinical Practice discussion list
[mailto:[log in to unmask]]On Behalf Of Abraha
Arefaine (RXQ)
Sent: 29 April 2010 17:18
To: [log in to unmask]
Subject: Re: Fluid balance


I do not know whether it has been tried before or not but I think it
would make a good sense academically provided that the parameters are
going to be defined quite strictly otherwise the workload could spiral
out of control.
Best wishes
Arefaine

-----Original Message-----
From: ACB Clinical Practice discussion list
[mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 28 April 2010 20:50
To: [log in to unmask]
Subject: Fluid balance

I've just been to an NPSA meeting where we discussed overhydration.
There was general dissatisfaction about fluid balance charts and
weighing patients (and i can't see any reason that they will improve).

Someone suggested an outreach approach to fluid balance management...
possibly a bit like TPN teams, acute pain teams and critical care
outreach. 

Does any one know if this approach has been tried... and any opinions on
whether chemical pathologists* should get involved?

Thanks

Jonathan

*I was once asked to do this by an orthopaedic surgeon. I made my
excuses and left. 

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