During urologic surgery, large quantities of irrigating fluids are infused intraoperatively. Which of the following is appropriate?

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Quizplus · Accepted Answer

Large amounts of irrigating fluids are often used during urologic procedures, which may impact the patient's electrolyte status. Irrigating fluids should be monitored both for fluid infused and for fluid returned. Thorough knowledge of the potential hazards encountered intraoperatively is extremely important and close observation is essential. A sudden change in signs and symptoms may be suggestive of TURP syndrome, a severe hyponatremia caused by systemic absorption of irrigating fluid used during surgery. Minimum amounts of fluids should be given and urine output carefully monitored. Irrigation fluid should be under as little pressure as possible and the bladder emptied before it reaches full capacity to prevent intravesical pressure.

During Urologic Surgery, Large Quantities of Irrigating Fluids Are Infused