Intravenous Fluids
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition
Please click on the link below to access the most up-to-date version of this guideline. The content on this page is currently being updated to align with the latest publication. Always check the version number at the bottom of the screen to confirm which version you are using.
The following IV fluids should be available for perioperative fluid replacement and maintenance therapy.
CRYSTALLOIDS
Most commonly used crystalloid for perioperative fluid maintenance:
- Sodium chloride 0.9%, IV.
Higher sodium content than indicated if there is a perioperative risk of hyponatraemia e.g. transurethral resection of prostate.
Balanced solutions may be appropriate in some patients (i.e. presentation with hyponatraemia, previous renal placement therapy):
- Balanced solution, e.g.:
- Ringer Lactate, IV.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2024 Edition