Copyright ©2014 Baishideng Publishing Group Co.
World J Crit Care Med. Feb 4, 2014; 3(1): 24-33
Published online Feb 4, 2014. doi: 10.5492/wjccm.v3.i1.24
Table 1 Overview of the analogy of prescribing fluid therapy and prescribing a drug
Steps for prescribing a drugPrescribing an oral hypoglycemic medicationPrescribing fluid therapy
Define the clinical problemDiabetes mellitusHypovolemia or other fluid responsive state
Specify the therapeutic objectiveLower blood glucoseRestore absolute/relative fluid deficit
Verify the suitability of the drugClass of oral hypoglycemic agentCrystalloid, colloid or blood product
Write a prescription to start the drugOrder written by MD, verified and dispensed by pharmacyOrder written by MD, verified by pharmacy, blood bank or RN, administered by RN
Monitor therapeutic response of the drugBlood glucose or hemoglobin A1C, evidence of adverse effect/ toxicityMonitor hemodynamic profile and end-organ perfusion, evidence of dose-response toxicity
Write an order to discontinueOrder written by MD, verified by pharmacyOrder written by MD, administered by RN