I have been ask to find information on administering a fluid challenge bolus of IV fluids to a hospitalized patient.  The question arises do you use a  pump, or take the tubing out of a pump and run it in wide open, or set the pump to run in at the max rate the pump with deliver, hang a bag with the amount of fluid ordered for the bolus or use the existing bag???  I looked for guidance in the INS P&P, Infusion Therapy in Clinical Practice and Core Curriculum of Intravenous Nursing and can not find where safe administration is addressed.  
Thank you for any help and references to best practice.  
Janis Strickland RN, BSN, CRNI
Education Consultant
SMGSI, Mt. Vernon Campus
605 North 12th Street
Mt. Vernon, IL  62864
Phone:  618-241-2050
Beeper:  618-325-4348
Fax: 618-241-3835
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