Rational prescribing of resuscitation, maintenance and replacement IV fluids.
Indications
- • Dehydration
- • Shock
- • NPO patient
Contraindications
- ⚠ Volume overload
Equipment
- • IV access
- • Fluid choice — crystalloid (RL/NS)
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Volume status: HR, BP, JVP, UO, skin turgor.
Immediate complications
- ⚠ Overload → pulmonary edema
- ⚠ Electrolyte disturbance
Delayed complications
- • Hyperchloremic acidosis (NS)
Recognition
- • Crackles, S3
- • Rising creatinine
Initial management
- • Reduce/stop fluids
- • Diuretics if indicated
Prevention
- • Daily reassessment
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
