Question

Jill, an 84 years old woman, was admitted to the hospital for treatment for dehydration. The health care provider immediately prescribed intravenous therapy, 1000 mL of D5W,q8h.

1. The nurse understands that, when administering intravenous (IV) fluid to this patient, monitoring for complications is included in the plan of care. What systemic complication should the nurse monitor for in the patient?
2. After several attempts to obtain a peripheral IV site, the nurse requests that central vein be accessed by the healthcare provider. which vein does the nurse anticipate will be cannulated?
3. The nurse is determining the flow rate of the IV fluids. Which would be the correct way to calculate the flow rate ?

Answer 1

While administering IV fluid the nurse should be carfeul about the sytemic compliactions tha happens to the patient. The systemic complicaions to be expected are;

1. circulatory overload
2. systemic infection like chills, fever and malase for no apparent reason
3. Air embolism

ii) The central vein to be selcted for iv cannulation are;

1. internal jugular vein in the neck
2. subclavian vein near the clavicle
3. femoral vein in the groin.

The most preferred one is subclavain vein from an infection prevention point f view.

iii) if the infusion is administered using the IV infusion pump, then the bes formula is;

Voulme to beinfused/ time in hours x 60 = flow rate