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University of Santo Tomas College of Nursing Intravenous Fluid Therapy Name: Section

1) The document provides guidelines for intravenous fluid therapy including assessing the patient, calculating flow rates, regulating the infusion, monitoring the patient, and documenting care. 2) It describes using two patient identifiers to identify the patient and know the drop factor of the infusion set to calculate flow rates based on the volume and time ordered. 3) Guidelines are provided for regulating gravity infusions by counting drops and adjusting the roller clamp and monitoring volume-controlled devices to regulate the flow rate and assess the infusion at least hourly.

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86 views2 pages

University of Santo Tomas College of Nursing Intravenous Fluid Therapy Name: Section

1) The document provides guidelines for intravenous fluid therapy including assessing the patient, calculating flow rates, regulating the infusion, monitoring the patient, and documenting care. 2) It describes using two patient identifiers to identify the patient and know the drop factor of the infusion set to calculate flow rates based on the volume and time ordered. 3) Guidelines are provided for regulating gravity infusions by counting drops and adjusting the roller clamp and monitoring volume-controlled devices to regulate the flow rate and assess the infusion at least hourly.

Uploaded by

Edgar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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UNIVERSITY OF SANTO TOMAS

COLLEGE OF NURSING
INTRAVENOUS FLUID THERAPY

NAME: SECTION:
REGULATION OF INTRAVENOUS FLUID      
ASSESSMENT: DONE REPEATED REMARKS
SUCCESSFULLY
Same with Priming      
IMPLEMENTATION      
1. Identify patient using two identifiers (i.e., name      
and birthday), or according to agency policy.
Compare identifiers in MAR/medical record with
information on patient’s identification bracelet
and/or ask patient to state name.
2. Have paper and pencil or calculator to calculate      
flow rate.
3. Know calibration (drop factor) in drops per      
milliliter (gtt/mL) of infusion set used by agency:

a.) Microdrip: 60ugtt/mL: Used to deliver rates less


than 100 ml/hr.
b. Macrodrip: 10 to 15ugtt/mL (depending on      
manufacturer):Used to deliver rates greater than
100╯mL/hr.
4. Determine how long each liter of fluid should      
run. Calculate milliliters per hour (hourly rate) by
dividing volume by hours:
5. For gravity infusions: Confirm hourly rate and      
minute rate based on drop factor of infusion set.
Using formula, calculate flow rate.
a. Ensure that IV container is 36 inches above the      
IV site for adults.
b. Regulate flow rate by counting drops in drip      
chamber for 1 minute by watch; adjust roller clamp
to increase or decrease rate of infusion.

6. For volume-control device:      


a. Place volume-control device between IV      
container and
insertion spike of infusion set using aseptic
technique. Ensure that IV container is 36 inches
above the IV site for adults.
b. Macrodrip: 10 to 15ugtt/mL (depending on      
manufacturer): Used to deliver rates greater than
100 mL/hr.
c. Assess system at least hourly. Regulate flow rate.      
7. Attach label to IV fluid container with date and      
time container changed (check agency policy).

EVALUATION      
1. Monitor IV infusion at least every hour, noting      
volume of IV fluid infused and rate

2. Observe patient for signs of fluid volume excess      


or deficit and signs of fluid and electrolyte
imbalance.

1
3. Evaluate for signs of IV-related complications      
(e.g., infiltration, phlebitis, occluded venous access
device [VAD], kink or knot in infusion tubing).
DOCUMENTATION      
1. Record rate of infusion in drops per minute or      
milliliters per hour in nurses’ notes and EHR or on
parenteral administration form according to
agency policy.
2. At change of shift or when leaving on break,      
report rate of and volume left in infusion to nurse
in charge or next nurse assigned to care for
patient.

CLINICAL INSTRUCTOR: ___________________________________


SIGNATURE: ___________________________________
DATE: ___________________________________

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