Reply To: hydration

  • Mary Lynn Rae

    Member
    September 17, 2014 at 9:23 pm

    we really only have seen HC in our SCT patients.  I can remember 1 patient that got HC with HD ifos in my 17 years in ONC.  For SCT and patients admitted for CTX or IFOS we encourage voiding Q2 hours and hyper-hydration checking for SG and blood with each void. 

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    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 09-16-2014 11:12 AM
    From: Debra Bruene
    Subject: hydration

    This message has been cross posted to the following Discussions: Nurse Educators and APHON Open Forum .
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    One of our staff nurses is reviewing evidence related to hydration.  You may respond via the list serve and I will forward reponses or you can reply directly to her:  elizabeth-denning@uiowa.edu

    For pediatric oncology patients receiving chemotherapy that puts the patient at risk for hemorrhagic cystitis, what is the most effective measure to ensure patient hyperhydration? For example, protocols on my unit call for urine parameters in which we ensure hyperhydration by having the patients void a certain volume every 2 hours. Other evidence includes urinalysis, specific gravity, etc. Thank you for your responses!

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    Debra Bruene
    University of Iowa Children’s Hospital
    Iowa City, IA
    United States
    debra-bruene@uiowa.edu
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