Changes

===Cardiac===

===Cardiac Disease===

It is important to avoid fluid overload in cardiac patients who often have reduced cardiac function. This means it is important to closely monitor fluid adminstration in these patients as it may worsen the patient's condition.  

It is important to avoid fluid overload in cardiac patients who often have reduced cardiac function. This means it is important to closely monitor fluid adminstration in these patients as it may worsen the patient's condition.  

===Central Nervous System===

===Central Nervous System Disease===

Patients with head trama or increased intracranial pressure are particularly suscetible to insufficient or excessive fluid loading. It is therefore with care that fluids are administered and monitored. The choice of fluid is dependent on the other clinical signs of the patient such as haemodynamics. The status of the blood brain barrier is an important consideration in any patient and in the selection of fluid. However, fluids containing glucose should be avoided in these patients.

Patients with head trama or increased intracranial pressure are particularly suscetible to insufficient or excessive fluid loading. It is therefore with care that fluids are administered and monitored. The choice of fluid is dependent on the other clinical signs of the patient such as haemodynamics. The status of the blood brain barrier is an important consideration in any patient and in the selection of fluid. However, fluids containing glucose should be avoided in these patients.