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Dr. Fox
Dec 20, 2012 22:10:27 GMT -5
Post by micgrow on Dec 20, 2012 22:10:27 GMT -5
Hypothetical Situation:
A patient requires an IV due to lack of hydration/limited ability to swallow with no major reason for rapid fluid introduction. Would a 22g catheter be sufficient in meeting the needs at 10-15 Dr/mL? Again, the only other use may be the occasional IV medication ( if additional port is available )
Educational opinion question, not holding it as fact.
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Dr. Fox
Dec 21, 2012 0:09:10 GMT -5
Post by arcticfox on Dec 21, 2012 0:09:10 GMT -5
Hypothetical Situation: A patient requires an IV due to lack of hydration/limited ability to swallow with no major reason for rapid fluid introduction. Would a 22g catheter be sufficient in meeting the needs at 10-15 Dr/mL? Again, the only other use may be the occasional IV medication ( if additional port is available ) Educational opinion question, not holding it as fact. Not sure what you mean by 10-15 Dr/mL but base on your scenario a 22g IV should suffice. Let's say a patient is completely NPO and depends on the IV as the sole source of hydration. Assuming this is an average size adult, the IV fluid can be running at around 8o to 100 mL per hour, which will meet and exceed the 1.5L to 2L daily fluid need. That's only 1.3 to 1.6 ml per minute. The 22 gauge line can easily handle that. In the scenario you gave, the IV line is used as fluid supplement only so that 22g is more than sufficient if the fluid is running as continuous drip. If however, the line will occasionally be used as a port of delivering medication as a piggy back or as a way to give large fluid bolus then the nurse might complain that the 22g is too slow. If there is possibility that the patient may need blood in the case of hemorrhage, always try to get two 18g IV at two different sites. The rampant idiotic fantasy generated by some of the members here regarding the supposed 400 mil a year recurring patent revenue really got me worked up today. The utter stubborn stupidity on this board got the better of me on a hectic day. Made me want to get smear it in their face. All the crude comments aside, I will admit it was uncalled for. Desperate people do not think logically. Trying to reason with some of the people here is an exercise in futility. In any case, I hope all is well with you and your family. And if you or your loved ones are dealing with medical problems, I wish you all the best and a speedy recovery. Happy holidays.
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Dr. Fox
Dec 21, 2012 8:55:34 GMT -5
Post by micgrow on Dec 21, 2012 8:55:34 GMT -5
Greetings,
Thank you for the kind words, but no, no one is ill. This question was geared toward a situation where having access to a doctor/ER is not an option. I have started several IV's on myself before, but was unsure of the catheter selection in relation to fluids requirements.
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