Abstract
“Routine fluid orders” do not constitute optimal or practical therapy any more than would routine orders for digitalization or diuretic programs. Treatment of any electrolyte imbalance requires a “metabolic prescription” in terms of the amounts of all the components to be administered per 24 hours, each constituent considered independently of all the others.
A concept of practical value in terms of prognosis, evaluation of therapy, and organization of treatment is that which analyzes disease syndromes according to the existing functional capacity and the load relationships of all parts of the body (load/capacity ratio).