Medicina
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Item FLUIDOTERAPIA INICIAL EN EL TRATAMIENTO DE LA PANCREATITIS AGUDA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Medicina, 2024-09-24) Iza Molina, Diego Xavier; Tite Andi, Silvia TatianaObjective: To determine the initial fluid therapy of choice in patients diagnosed with acute pancreatitis. Method: A descriptive design type of literature review was used with inclusion criteria in articles of scientific journals in databases such as: Redalyc, Scielo, PubMed/Medline, Web of Science and Scopus. The Prisma method was used to classify, identify eligibility criteria. Results: The use of Ringer's lactate in the management of acute pancreatitis is considered beneficial in the studies analyzed with statistically significant results that highlight shorter hospital stay, risk of admission to intensive care and progression to complications or severity. Conclusion: The best fluid to treat this pathology is ringer lactate and the infusion volume should be around 2,500 - 4,000 milliliters in 24 hours. Because aggressive hydration predisposes to the development of renal failure and acute respiratory failure with mechanical ventilatory support.