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Before prescribing any fluids, the physician should consider the patient\u2019s characteristics and the nature of the illness, and assess the risks and benefits of fluid therapy.&lt;br \/&gt;\nDecisions regarding fluid therapy present a\u00a0daily challenge in many hospital departments: emergency rooms, regular wards, operating rooms, and intensive care units. Traditional fluid prescription is full of paradigms and unnecessary routines as well as malpractice in the form of choosing the wrong solutions for maintenance or not meeting daily requirements. Prescribing maintenance fluids for patients on oral intake will lead to fluid creep and fluid overload. Fluid overload, defined as a\u00a010% increase in cumulative fluid balance from baseline weight, is an independent predictor for morbidity and mortality, and thus hospital cost. In the last decade, increasing evidence has emerged supporting a\u00a0restrictive fluid approach.&lt;br \/&gt;\nIn this manuscript, we aim to provide a\u00a0pragmatic description of novel concepts related to the use of IV fluids in critically ill patients, with emphasis on the different indications and common clinical scenarios. 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