Intravenous and Fluid Therapy Medical Directive - AUXILIARY

Question 1

IV and Fluid Therapy MD - AUX

What are the indications for the intravenous and fluid therapy MD?

Answer 1

Actual or potential need for intravenous medication OR fluid therapy.

Question 2

IV and Fluid Therapy MD - AUX

What are the conditions for IV cannulation?

Answer 2

Age: ≥2 years

Question 3

IV and Fluid Therapy MD - AUX

What are the conditions for 0.9% NaCl Fluid Bolus?

Answer 3

Age: ≥2 years
SBP: Hypotension

Question 4

IV and Fluid Therapy MD - AUX

What are the contraindications to IV cannulation?

Answer 4

Suspected fracture proximal to the access site.

Question 5

IV and Fluid Therapy MD - AUX

What are the contraindications to a 0.9% NaCl fluid bolus?

Answer 5

Fluid overload.

Question 6

IV and Fluid Therapy MD - AUX

What is the maintenance infusion for ≥2 years to <12 years?

Answer 6

15 ml/hr

Question 7

IV and Fluid Therapy MD - AUX

What is the maintenance infusion for ≥12 years?

Answer 7

30-60 ml/hr

Question 8

IV and Fluid Therapy MD - AUX

When do we need to patch for a bolus?

Answer 8

Patch to BHP for authorization to administer 0.9% NaCl fluid bolus to hypotensive patients ≥2 years to <12 years with suspected DKA.

Question 9

IV and Fluid Therapy MD - AUX

What is the bolus for ≥2 years to <12 years?

Answer 9

20 ml/kg, reassess every 100 ml, max 2000 ml.

Question 10

IV and Fluid Therapy MD - AUX

What is the bolus for patients ≥12 years?

Answer 10

20 ml/kg, reassess every 250 ml, max 2000 ml.

Question 11

IV and Fluid Therapy MD - AUX

Who is the max volume of NaCl lower for?

Answer 11

Patients in cardiogenic shock and ROSC.

Question 12

IV and Fluid Therapy MD - AUX

What should be considered for use for patients <12 years of age?

Answer 12

Microdrips and/or volume control administration sets.