ArticleSage open pediatrics
Challenges in Pediatric Fluid Management: Insights into Nursing Practices and Knowledge.
Article in Sage open pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Fluid overload-a critical risk in pediatric/neonatal care-is often driven by excessive fluid during medication dilution, increasing complications like acute kidney injury(AKI), prolonged ventilation, and mortality. Methods: A 2024 cross-sectional study across 14 pediatric units (PICUs, NICUs, surgical/general wards) evaluated fluid administration practices and nurses' knowledge. Observations included 150 patients and 200 nurses administering 8 medications. Data on fluid volumes, infusion durations, compatibility, and storage compliance were collected via checklist and questionnaires. Results: Nurses demonstrated moderate overall knowledge (mean score: 68.3 ± 10.4), with unit-level variability. Performance scores were highest in PICUs (76.0 ± 9.7) and lowest in surgical wards (62.86 ± 12.7). Key issues included excessive dilution (vancomycin, ampicillin, ceftriaxone) and storage noncompliance (eg, 40% in cardiac NICUs), posing risks to vulnerable patients. Conclusion: Standardized dilution guidelines, enhanced education on drug compatibility/storage, and real-time monitoring tools are critical to mitigating fluid overload risks and improving pediatric outcomes.
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Registered trials
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