Author Question: If an IV solution, medicated or unmedicated, falls behind or gets ahead of the ordered schedule, ... (Read 37 times)

londonang

  • Hero Member
  • *****
  • Posts: 540
If an IV solution, medicated or unmedicated, falls behind or gets ahead of the ordered schedule, what should and shouldn't the nurse do? What are some of the concerns?
 
  What will be an ideal response?

Question 2

An IV of 1000 mL at 100 mL per hr is started at 1200 hours. At 1800 hours, 400 mL have been infused. How many mL should have been infused? How could this have been prevented?
 
  What will be an ideal response?



aidanmbrowne

  • Sr. Member
  • ****
  • Posts: 305
Answer to Question 1

The nurse should not automatically readjust the flow rate. The prescriber orders the flow rate based upon the contents of the IV, patient heart, lung and renal function, diagnoses, and purpose of the IV, among other things. There are no approved catch- up formulas for any patient. The nurse is not prepared to evaluate all this. The patient condition must be assessed for symptoms of fluid or medication overload or underload. It's best to consult the prescriber promptly about ad-justments. Even abruptly slowing down a medicated IV can cause problems. Never open the IV to full flow to catch up.

Answer to Question 2

600 mL should have been infused. Monitoring IV infusion rates and volume infused frequently, at least every hour or more often, and during every visit to bedside, can prevent this type of error.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

For a complete list of videos, visit our video library