This brings up a question for me. What about the preventing free flow patient safety initiatives? Using pumps and tubing that prevent free flow of fluids. Do those guidelines indicate that preventing free flow of fluids includes fluid challenges like you are discussing? Gwen Irwin Austin, Texas
----- Original Message ----- From: Lynn Hadaway <[EMAIL PROTECTED]> Date: Thursday, June 22, 2006 5:27 pm Subject: Re: Fluid bolus administration To: [EMAIL PROTECTED], IV list server <[EMAIL PROTECTED]> > 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
