INTRAVENOUS FLUID FLOW RATE o COMMENTS:

CALCULATION  DRAWS FLUID OF

THE IC&IT
IVF THERAPY:
COMPARTMENTS
- UNABLE TO TAKE SUFFICIENT INTO THE
FOOD AND FLUID ORALLY. VASCULAR
- EFFECTIVE TO SUPPLY FLUID COMPARTMENT
DIRECTLY INTO THE TO EXPAND
INTRAVSCULAR VASCULAR
COMPARTMENT VOLUME)
- REPLACING ELECTROLYTE  DO NOT: KIDNEY
LOSSES AND HEART DS
WHO ARE
INTRAVENOUS SOLUTIONS:
DEHYDRATED.
- ISOTONIC: RESTORE W/O:
VASCULAR VOLUME HYPERVOLEMIA
o EXAMPLE: - HYPOTONIC: LESSER
 0.9 NaCl (NORMAL CONCENTRATION OF SOLUTES
SALINE) o COMMENTS:
 LACTATED  PROVIDE FREE
RINGERS WATER AND
(BALANCED TREAT CELLULAR
ELECTROLYTE DEHYDRATION
SOLUTION)  PROMOTE WASTE
 5% DEXTROSE IN ELIMINATION BY
WATER (D5W) THE KIDNEYS
o COMMENTS: (NS&LR)  DO NOT: RISK
 HYPERVOLEMIA FOR IICP OR
 BOUNDING PULSE THIRD-SPACE
 SOB FLUID SHIFT.
 D5W: AVOIDED IN INTRAVENOUS SOLUTIONS
CLIENTS AT RISK
IN ICP – INCREASE - NUTRIENTS SOLUTIONS: CHO
CEREBRAL AND WATER
EDEMA) o DEXTROSE
- HYPERTONIC: GREATER o GLUCOSE
CONCENTRATION OF SOLUTE o LEVULOSE
THAN PLASMA - WATER: FOR FLUID
o EXAMPLE: REQUIREMENTS
 5% D5NS - CHO: FOR CALORIES AND
 5%0.45% NaCl ENERGY
(D51/2NS)
 5%D5LR
 o COMMON:  DEXTRAN
 D5W  PLASMA
 5%1/2NaCl  ALBUMIN
- ELECTROLYTE SOLUTIONS:  HESPAN
o CATIONS AND ANIONS (SYNTHETIC
o NORMAL SALINE PLASMA
(0.9NaCl) EXPANDER)
o RINGERS SOLUTION: PARTS:
 SODIUM
 CHLORIDE
 POTASSIUM
 CALCIUM
o LR SOLUTION
 SODUM
 CHLORIDE
 POTASSIUM
 CALCIUM
 LACTATE
 METABLIZE
D IN THE
LIVER TO
FORM
BICARBONA
TE
 SALINE
 TO
RESTORE
VASCULAR
VOLUME
o GAST
RIC
SUCTI
ON
o WOU
ND
DRAI TYPES:
NAGE - MICROSET: 60MGTTS/ML
- WOUND EXPANDERS - MACROSET: 20GGTS/ML
o INCREASE BLOOD - SOLUSET
VOLUME FOLLOWING - BT SET: 10GTTS/ML
SEVERE BLOOD LOSS OR
PLASMA
 IV CATHETER
COLOR SIZE DIAMETER LENG FLOW USES
TH RATE
14G 2.1MM 45MM 240ML TRAUMA, RAPID
/MIN BT, SURGERY
16G 1.8MM 45MM 180ML RAPID FLUID
/MIN REPLACEMENT,
TRAUMA, RAPID
BT
18G 1.3MM 32MM 90ML/ RAPID FLUID
MIN REPLACEMENT,
TRAUMA, RAPID
BT
20G 1.1MM 32MM 60ML/ INFUSIONS,
MIN RAPID FLUID
REPLACEMENT,
TRAUMA,
ROUTINE BT
22G 0.9MM 25MM 36ML/ MOST INFUSION,
MIN NEONATE,
PEDIATRIC,
OLDER ADULTS,
ROUTINE BT
24G 0.7MM 19MM 20ML/ MOST
MIN INFUSIONS,
NEONATE,
PEDIATRIC,
OLDER ADULTS,
ROUTINE BLOOD
TRANSFUSION,
NEONATE OR
PEDIATRIC
BLOOD
TRANSFUSION
26G 06MM 19MM 13ML/ PEDIATRIC,
MIN NEONATE

FORMULA FOR IVF FLOW RATE:

TV x DF / HR x 60MINxHR
- TV: TOTAL VOLUME
- DF: DROP FACTOR
- HR: HOUR
- 60MIN/HR: CONSTANT