606 AUDIT: IV Fluid Prescribing in Surgical Patients

Abstract Aim A recent change to electronic fluid prescribing has enabled us evaluate our adherence recommendations. NICE clinical guideline 174 states that patients should receive 25-30ml/kg/day water and 1mmol/kg/day of sodium, potassium, chloride with regards maintenance therapy. We retrospectively audited practice in surgical patients. Method Patients were selected from two inpatient wards a district general hospital utilising random sampling over one-month period. Prescribed intravenous (IV) therapy 24-hour period was collected; addition weight, presence an acute kidney injury (AKI) indication for IV replacement (maintenance versus resuscitation). Results 50 identified during the All them emergency presentations. Maintenance fluids prescribed 76% No had AKI at time data collection. The mean weight 75kg. Overall, received volume 2.3L/day. concentration electrolytes administered were: Sodium 297mmol, Potassium 13mmol, Chloride 237mmol. When adjusting patient this resulted net administration of: +221mmol, -62mmol, +162mmol. Conclusions Three quarters fluids. electrolyte contents these inadequate. 295% excess Sodium, 216% Chloride, 82% less than recommended daily requirement Potassium. aim introduce protocol prescribing, teaching sessions, would allow guidelines improve care.