Intravenous and Fluid Therapy Flashcards
Intravenous and Fluid therapy
Indications
Actual or potential need for intravenous medication
OR
Fluid Therapy
IV Cannulation
Conditions
?
ANYONE
different to PCP who only cannulate ≥ 2
0.9% NaCl Fluid Bolus
Conditions
SBP?
SBP: Hypotension
defined as SBP <90
Paediatric = (age x 2) +70
What patient population in general should we be cautious with fluid bolus?
- Renal Insufficiency / impairment
- Heart Failure patients
- Trauma patients
IV Cannulation
Contraindications
Suspected fracture proximal to the access site
IV Cannulation
Contraindications
Suspected fracture proximal to the access site
0.9% NaCl Fluid Bolus
Contraindications
Fluid Overload
0.9% NaCl Fluid Bolus
Contraindications
Fluid Overload
0.9% NaCl Maintenance infusion
Route - IV / IO / CVAD
< 12 years
Infusion?
Infusion interval?
Reassess every?
Max. Volume?
Infusion: 15ml / hr
Infusion interval: N/A
Reassess every: N/A
Max. Volume: N/A
must use 60 (micro) drip set for paediatrics
some rate controlling device is required
0.9% NaCl Maintenance infusion
Route - IV / IO / CVAD
≥ 12 years
Infusion?
Infusion interval?
Reassess every?
Max. Volume?
Infusion: 30 - 60 ml/hr
Infusion interval: N/A
Reassess every: N/A
Max. Volume: N/A
Mandatory patch point for Fluid bolus for what patient?
< 12 year old patient
Hypotensive
DKA
Mandatory patch point for Fluid bolus for what patient?
< 12 year old patient
Hypotensive
DKA
0.9% NaCl Fluid Bolus
Route - IV / IO / CVAD
< 12 years
Infusion?
Infusion interval?
Reassess every?
Max. Volume?
Infusion: 20ml/kg
Infusion interval: immediate
Reassess every: 100ml
Max. Volume: 2,000ml
must use 60 (micro) drip set for paediatrics
0.9% NaCl Maintenance infusion
Route - IV / IO / CVAD
≥ 12 years
Infusion?
Infusion interval?
Reassess every?
Max. Volume?
Infusion: 20ml/kg
Infusion interval: immediate
Reassess every: 250ml
Max. Volume: 2,000ml
