Are fluids drugs : type , dose and toxicity?
Similar to any drug used in acutely ill patients, clinicians ordering a volume prescription must recognize that context is crucial. Physiologically balanced crystalloids may be the 'default' fluid for acutely ill patients, and the role for colloids is unclear. Optimal dosing involves assessment of volume responsiveness.
The use of a secure electronic messaging system reduced the number of office visits at the general practice, but not phone consultations.