Fluid Therapy

Question 1

FO1
The veterinary surgeon decides that a patient requires administration of intravenous crystalloid fluids, over a period of X hours.

Set up an infusion using the fluid and giving set provided, demonstrating an aseptic
technique.

Patient weight X kg

For this patient you are required to calculate:
a. The total daily maintenance
b. ML per hour
c. The fluid administration rate (drops per minute or frequency of drops).

Show all your workings including units.

Maintenance rate calculation: Xml/kg/day
Drip factor: X drops/ml

Answer 1

1. Remove administration set from packaging
2. Turn off regulator
3. Hang fluid bag on drip stand
4. Remove protective tag from administration port
5. Insert administration set in to fluid bag using an aseptic technique
6. Squeeze chamber to ⅓ to ¾ full
7. Release regulator to fill drip line
8. Close regulator
9. No significant air bubbles left within the drip line
10. Minimal wastage of fluid
11. Aseptic technique maintained
12. Daily maintenance requirement calculation correct
13. ml per hour calculation correct
14. Fluid administration rate correct (drops/min or frequency of drops)
15. Correct units of measurement used for final answer

Question 2

F02
You have been requested to administer an Intravenous bolus of (generic name) as
(Trade name) Xmg/ml, through the IV line to this patient.

a. Carry out a routine check of the catheter site and IV line to ensure that it is suitable
for administration of medication (explain to the examiner the checks you are making).

b. Prepare an appropriate needle and syringe, draw up and administer the medication as detailed on the patient hospital chart. The examiner will check the syringe prior to you administering the medication.

c. Record the administration of medication on the hospital chart provided.

d. Leave the drip running at a rate of 1 drop every 3 seconds (20 drops per minute).

Answer 2

1. Select correct medication
2. Check expiry date and date of first opening
3. Select an appropriate syringe
4. Select a needle
5. Select surgical spirit and swab/cotton wool
6. Assemble syringe and needle using an aseptic technique
7. Swab top of vial
8. Introduce needle to vial using an aseptic technique
9. Draw back correct volume of drug required
10. Withdraw needle from vial
11. Needle either not re-sheathed or re-sheathed using safe technique
    (pre-administration)
12. Wear gloves
13. Check that the IV line is patent (say running well and no swelling)
14. Check the IV site for inflammation or infiltration
15. Occlude the IV line
16. Clean/swab the injection port
17. Using an aseptic technique introduce the needle into the centre of the
    port
18. Administer drug slowly
19. Remove syringe and needle from port
20. Open drip line to run medication through (leave drip on max to do hosp sheet then set to rate)
21. Needle not re-sheathed after administration of medication
22. Dispose of needle in medicinal sharps bin
23. Dispose of syringe in appropriate container
24. Set fluid administration rate as requested
25. Record administration of medication fully on hospital chart
26. Demonstrate safe, effective and aseptic technique

Question 3

FO3
A hospitalised patient requires administration of intravenous crystalloid fluids.

Using an aseptic technique, you are required to
a. Prepare the fluid and giving set provided ready for administration
b. Prepare the catheter for use
c. Administer the fluid at a rate of 1 drop every 3 seconds (20 drops per minute)

Notes:
An intravenous catheter with T-connector has already been placed. You are not required to change the patient’s IV catheter or bandage.

Answer 3

1. Remove administration set from packaging
2. Turn off regulator
3. Hang fluid bag on drip stand
4. Remove protective tag from administration port
5. Insert administration set into fluid bag using an aseptic technique
6. Squeeze chamber to ⅓ to ¾ full
7. Release regulator to fill drip line
8. Close regulator
9. No significant air bubbles left within the drip line
10. Minimal wastage of fluid
11. Select saline
12. Select suitable needle and syringe and assemble aseptically for administration of flush
13. Prepare surgical spirit swabs
14. Wear Gloves
15. Swab top of the flush bottle
16. Draw up appropriate quantity of saline
17. Swab bung of T-connector
18. Flush catheter with saline via the T-connector
19. Using an aseptic technique attach the fluid administration set
20. Dispose of needle and syringe appropriately, needle either not resheathed OR re-sheathed using a safe technique
21. Release regulator
22. Set administration drip rate as prescribed
23. Demonstrate safe, effective and aseptic technique.