I don't think there is one answer that will work for every
patient in every situation. What volume is to be used and how much is
remaining in the bag? What meds may be added to the bag and can those
be infused at the same rate as the fluid challenge. What max rate will
the inserted catheter allow - large CVC vs small PIV? I have seen
fluid challenges done with and without a pump, with the primary fluids
and with a new bag of a different fluid. So many variable to consider,
I think the nurse will have to use critical thinking skills in each
situation and don't know how you would craft a policy and procedure
for each situation. Lynn
At 5:06 PM -0500 6/21/06, [EMAIL PROTECTED] wrote:
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
[EMAIL PROTECTED]
Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
