142 Intravenous and Fluid Therapy

Question 1

What are the INDICATIONS for the FLUID THERAPY medical directive?

Answer 1

Actual or potential need for IV medication or fluid therapy

Question 2

What are the CONTRAINDICATIONS for NACL in the FLUID THERAPY Medical Directive?

Answer 2

Fluid overload

Question 2

What are the CONDITIONS for NACL in the FLUID THERAPY Medical Directive?

Answer 2

Hypotension

Question 3

What is the MAX dose for NACL in the FLUID THERAPY Medical Directive?

Answer 3

2000ml

Question 4

What is the INFUSION DOSE for NACL in the FLUID THERAPY Medical Directive?

Answer 4

20ml/kg

Question 5

What is the dosing REASSESSMENT INTERVAL for NACL in the FLUID THERAPY Medical Directive?

Answer 5

Under 12: Every 100ml
Over 12: Every 250ml

Question 6

What is the ROUTE of administration for NACL in the FLUID THERAPY Medical Directive?

Answer 6

IV/IO/CVAD

Question 7

When are you contraindicated to start an IV

Answer 7

Suspected fracture proximal to the access site

Question 8

Why are fractures proximal to the site of an IV contraindicated?

Answer 8

They create a risk of extraversion.

Question 9

What is the rate for TKVO for pediatrics?

Answer 9

15ml/hr (micro: 1 drop every 4 seconds, macro: 1 drop every 30 seconds)

Question 10

What is the rate for TKVO for adults?

Answer 10

30-60ml/hr (1 drop 6-12 seconds)

Question 11

When must a patch be made to give a fluid bolus?

Answer 11

Hypotensive patients under 12, suspected DKA

Question 12

Why must we patch for Hypotensive patients under 12 with suspected DKA?

Answer 12

We need to control the volume to prevent cerebral edema