• Intravenous therapy is the infusion of fluid directly into the venous

circulation of a patient, usually via a cannula. There are various

indications for the administration of fluid, such as replacement of
electrolytes, restoration of blood volume or maintenance in the
surgery-staved patient.
• Intravenous (IV) therapy can also be used in the administration of
drugs (such as in chemotherapy); it has a fast action, compared to
enteral routes, as the medication is delivered straight into the
circulation.
• In this article, we shall look at the principles behind setting up an
intravenous fluid infusion.
• Fluid Bag Information
• Before setting up an intravenous fluid infusion, it is important
to check the fluid bag. Although there are different types of fluid, the
bags all have a similar structure and labelling.
• Type of fluid
• Expiry date of fluid
• Port for injection
• Port for insertion of giving spike
• Procedure
• Introduce yourself to the patient, check the patient details, and check the
prescription chart. Note the type of fluid, volume, and time to be given over. Ensure
to check for any allergies
• Explain the procedure to the patient and gain their consent. Check the fluid bag for
any cloudiness or particulate matter present; do not use the bag if any such impurities
are present. Remove the outer packing of the bag and hang it up on a drip stand.
• Open the giving set and close the flow control using the roller-ball clamp on the line.
Remove the cover from the port on the bag by twisting and breaking it off. Insert the
spike into the port, without touching the end.
• Half fill the filling chamber by squeezing it then release the roller ball clamp to allow
the fluid to run through the giving set. Ensure no bubbles are in the line and clamp off
the roller ball.
• Decontaminate your hands and don apron and gloves. Clean the hub of the bionector
with a chlorhexidine wipe, then flush the cannula with saline. Attach the giving set to
the bionector. Set the infusion rate by adjusting the roller ball.
• Calculating the Drip Rate
• The drip rate refers to the number of drops of fluid that enter the filling
chamber each minute. The drip rate is set manually, and determines
the speed at which the fluid is infused into the patient. It is calculated as
follows:
• First calculate the ml/hr required:
• E.g. 1 litre bag of normal saline to be given over 8 hours = 1000ml/8hrs
= 125ml/hr
• Then calculate the ml/min required:
• E.g. 125ml/hr = 125ml/60mins = 2ml/min
• For a standard giving set, 20 drops in 1ml. Therefore, you can calculate
the number of drops per minute:
• E.g. 2mls/min = 40 drops/min
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