Postoperative third-space accumulation should be managed by intravenous
B. Dextrose in water
C. Fluid restriction
D. Normal saline
Ans.
D. Normal saline
Third-space fluid accumulation should
be managed by replacement with normal saline. This may produce an edematous
patient, but it maximizes protection of renal function and produces marc rapid
recovery. Intravenous administration of non-solute containing fluids compounds
the problem. Administration of potassium-containing fluids may lead to cardiac
irregularity, and fluid restriction makes the renal problems worse.