The NICE CG174 guideline for intravenous fluid therapy in adults recommends which assessment using the 5 Rs framework? Which of the following is NOT one of the 5 Rs?
- A Resuscitation
- B Routine maintenance
- C Reversal of electrolyte imbalances ✓
- D Replacement
Correct answer: C. Reversal of electrolyte imbalances
Explanation
NICE CG174's '5 Rs' framework for perioperative IV fluid management are: Resuscitation, Routine maintenance, Replacement (of ongoing losses), Redistribution (recognition of existing deficits/excesses), and Reassessment. 'Reversal' is not one of the 5 Rs. The framework emphasises using crystalloids (0.9% NaCl or balanced salt solutions like Hartmann's) for resuscitation, avoiding chloride-rich solutions when possible, and careful reassessment at each clinical change.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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