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Advising Patients To Increase Fluid Intake For Treating Acute Respiratory Infections, Michelle Guppy, Sharon Mickan, Chris Del Mar, Sarah Thorning Feb 2011

Advising Patients To Increase Fluid Intake For Treating Acute Respiratory Infections, Michelle Guppy, Sharon Mickan, Chris Del Mar, Sarah Thorning

Sarah Thorning

Background
Acute respiratory infection is a common reason for people to present for medical care. Advice to increase fluid intake is a frequent treatment recommendation. Attributed benefits of fluids include replacing increased insensible fluid losses, correcting dehydration from reduced intake and reducing the viscosity of mucus. However, there are theoretical reasons for increased fluid intake to cause harm. Anti-diuretic hormone secretion is increased in lower respiratory tract infections of various aetiologies. This systematic examination of the evidence sought to determine the benefit versus harm from increasing fluid intake.

Objectives
To answer the following questions.
(1)Does recommending increased fluid intake as …


Acute Respiratory Infections, Sharon Sanders, Jenny Doust, Chris Del Mar Aug 2009

Acute Respiratory Infections, Sharon Sanders, Jenny Doust, Chris Del Mar

Jenny Doust

Extract: Acute respiratory infections may be classified in several different ways: by their symptoms (fever, sore throat, cough, ear pain, runny nose); by their clinical manifestations (coryza, pharyngitis, tonsillitis, epiglottitis, otitis media, influenza, bronchitis, pneumonia); or by causative organism. Furthermore, their symptoms and sometimes the whole clinical picture may be shared by conditions that are not infections (asthma, allergic rhinitis). Some of this complexity is shown in Figure 46.1. Elucidating the exact location or responsible organism is usually clinically unhelpful. In this chapter, we focus on diagnostic questions that have the greatest impact on the patient with an acute respiratory …


Acute Respiratory Infections, Sharon Sanders, Jenny Doust, Chris Del Mar Aug 2009

Acute Respiratory Infections, Sharon Sanders, Jenny Doust, Chris Del Mar

Christopher Del Mar

Extract: Acute respiratory infections may be classified in several different ways: by their symptoms (fever, sore throat, cough, ear pain, runny nose); by their clinical manifestations (coryza, pharyngitis, tonsillitis, epiglottitis, otitis media, influenza, bronchitis, pneumonia); or by causative organism. Furthermore, their symptoms and sometimes the whole clinical picture may be shared by conditions that are not infections (asthma, allergic rhinitis). Some of this complexity is shown in Figure 46.1. Elucidating the exact location or responsible organism is usually clinically unhelpful. In this chapter, we focus on diagnostic questions that have the greatest impact on the patient with an acute respiratory …