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Decrease the incidence of inadequate diuresis (ID, loss of 6% of birth weight) in extremely preterm neonates (EPT, 28 weeks of gestation at birth) during the first week of life by 50% in 1 year. Quality improvement project in a level IV neonatal intensive care unit. A fluid management protocol was implemented, including the use of a fluid guide sheet and closer monitoring of hydration parameters. Seventy-nine baseline EPT neonates were compared to 83 post intervention. The incidence of ID was tracked monthly, along with prespecif
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