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Advanced Search January-February 1998 - Volume 21 - Issue 1
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Institutional UsersAccess through Ovid® Not a Subscriber?Buy Subscribe Request Permissions You can read the full text of this article if you: Log In Access through Ovid Standards: Clinical Management Journal of Intravenous Nursing: January 1998 - Volume 21 - Issue 1 - p S39-S40 Related ArticlesWhy you should read this article
A balance between the volume of fluid taken in by the human body, and the volume of fluid excreted, is essential for life. Body fluid balance, which is maintained via various homeostatic mechanisms, can be disrupted by injury or disease. Prompt action is usually required to replenish fluid volumes and restore homeostasis, which is achieved via intravenous (IV) fluid therapy. Nurses will often encounter patients with a disrupted fluid balance, particularly in critical care. They will be involved in assessing patients’ fluid status and administering and monitoring therapy. Therefore, nurses have an important role in ensuring the safety and effectiveness of IV fluid therapy. This article provides an overview of the principles and aims of IV fluid therapy. It also explains the physiology of body fluid and mechanisms of fluid balance regulation, outlines the principles of patient assessment and indications for IV fluid therapy, and details its potential risks and complications. Nursing Standard. 35, 2, 75-82. doi: 10.7748/ns.2020.e11459 Peer review This article has been subject to external double-blind peer review and checked for plagiarism using automated software @magsy32 Correspondence
Conflict of interest None declared Guest M (2020) Understanding the principles and aims of intravenous fluid therapy. Nursing Standard. doi: 10.7748/ns.2020.e11459 Published online: 27 January 2020 ORUnlock full access to RCNi Plus todaySave over 50% on your first 3 monthsYour subscription package includes:
Subscribe RCN student member? Try Nursing Standard StudentAlready subscribed? Log inWhat are the nursing responsibilities in intravenous therapy?The nurse's responsibilities in managing IV therapy include the following:. assessing an IV site.. priming and hanging a primary IV bag.. preparing and hanging a secondary IV bag.. calculating IV rates.. monitoring the effectiveness of IV therapy.. discontinuing a peripheral IV.. How do you care for a patient intravenous infusion?They will monitor the drip at least once each shift and before giving any fluids or medication.. > Clean hands - before anybody touches the IV drip they must clean their hands.. > Keep the IV drip dry - avoid getting the IV drip wet; use an additional waterproof.. What nursing assessment should be made when patient has an IV?Assessment. Patient and IV site assessments should be done on a regular basis. PIVC assessment includes: Assessment of PIVC insertion site - Catheter position, patency/occlusion, limb symmetry, any signs of phlebitis (erythema, tenderness, swelling, pain etc.), infiltration/extravasation.
What are the nursing considerations before IV medication administration?The administration of intravenous solutions/medications shall be upon a physician's order. Prior to solution/medication administration, the nurse shall assess the following: appropriateness of the prescribed therapy; patient's age and condition; and dose, route and rate of the solution/medication ordered.
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