Routes For Fluid Therapy - Key Notes

Arlo Guthrie — Mon, 20 Apr 2009 08:25:04 GMT

Current Revision posted to Revision Guide For Student Nurses - Part 2 by Arlo Guthrie on 4/20/2009 8:25:04 AM

ROUTE	ADVANTAGES	DISADVANTAGES
Intrasosseus (Intramedullary)	Excellent fluid uptake Good alternative to venous access in very small patients Suitable route for shocked patients with collapsed veins	Difficult technique Infection risk Only sterile, isotonic, non-irritant fluids may be used
Intraperitoneal	Large surface area for absorption Relatively large volumes may be given Vasoconstriction occurs later in the peritoneum in cases of circulatory shock than subcutaneous Suitable for mildly dehydrated patients where the oral route is contraindicated	Risk of peritonitis Risk of the puncture of an abdominal organ Only sterile, isotonic, non-irritant fluids may be used
Intravenous	Fluid is released directly into the circulation making this the most rapid route for fluid uptake Ideal route for the administration of large volumes of fluid in cases of circulatory shock The only route suitable for colloidal and hypertonic solutions Allows very precise dosage particularly if a constant rate infusion pump is used	Circulatory overload Relatively time consuming and expensive Risk of infection and thrombophlebitis Patient interference
Oral	Simple, inexpensive and painless Fluid composition is not critical due to selective absorption Large volumes may be given Suitable for the provision of maintenance fluid requirements in mildly dehydrated patients	Slow, restricted absorption Contraindicated in cases of vomiting, intestinal obstruction and circulatory shock
Rectal	Inexpensive	Not recommended as this is not proven to provide effective fluid uptake
Subcutaneous	Simple and inexpensive Suitable for very small patients where other routes are inaccessible	Painful Risk of infection Slow absorption Only relatively small volumes may be administered Only sterile, isotonic, non-irritant solutions may be used

Routes For Fluid Therapy - Key Notes

Arlo Guthrie — Mon, 20 Apr 2009 07:43:21 GMT

Revision 3 posted to Revision Guide For Student Nurses - Part 2 by Arlo Guthrie on 4/20/2009 7:43:21 AM

ROUTE	ADVANTAGES	DISADVANTAGES
Intrasosseus (Intramedullary)	Excellent fluid uptake Good alternative to venous access in very small patients Suitable route for shocked patients with collapsed veins	Difficult technique Infection risk Only sterile, isotonic, non-irritant fluids may be used
Intraperitoneal	Large surface area for absorption Relatively large volumes may be given Vasoconstriction occurs later in the peritoneum in cases of circulatory shock than subcutaneous Suitable for mildly dehydrated patients where the oral route is contraindicated	Risk of peritonitis Risk of the puncture of an abdominal organ Only sterile, isotonic, non-irritant fluids may be used
Intravenous	Fluid is released directly into the circulation making this the most rapid route for fluid uptake Ideal route for the administration of large volumes of fluid in cases of circulatory shock The only route suitable for colloidal and hypertonic solutions Allows very precise dosage particularly if a constant rate infusion pump is used	Circulatory overload Relatively time consuming and expensive Risk of infection and thrombophlebitis Patient interference
Oral	Simple, inexpensive and painless Fluid composition is not critical due to selective absorption Large volumes may be given Suitable for the provision of maintenance fluid requirements in mildly dehydrated patients	Slow, restricted absorption Contraindicated in cases of vomiting, intestinal obstruction and circulatory shock
Rectal	Inexpensive	Not recommended as this is not proven to provide effective fluid uptake
Subcutaneous	Simple and inexpensive Suitable for very small patients where other routes are inaccessible	Painful Risk of infection Slow absorption Only relatively small volumes may be administered Only sterile, isotonic, non-irritant solutions may be used

Routes For Fluid Therapy - Key Notes

Arlo Guthrie — Mon, 20 Apr 2009 07:42:48 GMT

Revision 2 posted to Revision Guide For Student Nurses - Part 2 by Arlo Guthrie on 4/20/2009 7:42:48 AM

KEY NOTES

ROUTE	ADVANTAGES	DISADVANTAGES
Intrasosseus (Intramedullary)	Excellent fluid uptake Good alternative to venous access in very small patients Suitable route for shocked patients with collapsed veins	Difficult technique Infection risk Only sterile, isotonic, non-irritant fluids may be used
Intraperitoneal	Large surface area for absorption Relatively large volumes may be given Vasoconstriction occurs later in the peritoneum in cases of circulatory shock than subcutaneous Suitable for mildly dehydrated patients where the oral route is contraindicated	Risk of peritonitis Risk of the puncture of an abdominal organ Only sterile, isotonic, non-irritant fluids may be used
Intravenous	Fluid is released directly into the circulation making this the most rapid route for fluid uptake Ideal route for the administration of large volumes of fluid in cases of circulatory shock The only route suitable for colloidal and hypertonic solutions Allows very precise dosage particularly if a constant rate infusion pump is used	Circulatory overload Relatively time consuming and expensive Risk of infection and thrombophlebitis Patient interference
Oral	Simple, inexpensive and painless Fluid composition is not critical due to selective absorption Large volumes may be given Suitable for the provision of maintenance fluid requirements in mildly dehydrated patients	Slow, restricted absorption Contraindicated in cases of vomiting, intestinal obstruction and circulatory shock
Rectal	Inexpensive	Not recommended as this is not proven to provide effective fluid uptake
Subcutaneous	Simple and inexpensive Suitable for very small patients where other routes are inaccessible	Painful Risk of infection Slow absorption Only relatively small volumes may be administered Only sterile, isotonic, non-irritant solutions may be used

Routes For Fluid Therapy - Key Notes

Arlo Guthrie — Mon, 20 Apr 2009 07:42:22 GMT

Revision 1 posted to Revision Guide For Student Nurses - Part 2 by Arlo Guthrie on 4/20/2009 7:42:22 AM

KEY NOTES

ROUTE	ADVANTAGES	DISADVANTAGES
Intrasosseus (Intramedullary)	Excellent fluid uptake Good alternative to venous access in very small patients Suitable route for shocked patients with collapsed veins	Difficult technique Infection risk Only sterile, isotonic, non-irritant fluids may be used
Intraperitoneal	Large surface area for absorption Relatively large volumes may be given Vasoconstriction occurs later in the peritoneum in cases of circulatory shock than subcutaneous Suitable for mildly dehydrated patients where the oral route is contraindicated	Risk of peritonitis Risk of the puncture of an abdominal organ Only sterile, isotonic, non-irritant fluids may be used
Intravenous	Fluid is released directly into the circulation making this the most rapid route for fluid uptake Ideal route for the administration of large volumes of fluid in cases of circulatory shock The only route suitable for colloidal and hypertonic solutions Allows very precise dosage particularly if a constant rate infusion pump is used	Circulatory overload Relatively time consuming and expensive Risk of infection and thrombophlebitis Patient interference
Oral	Simple, inexpensive and painless Fluid composition is not critical due to selective absorption Large volumes may be given Suitable for the provision of maintenance fluid requirements in mildly dehydrated patients	Slow, restricted absorption Contraindicated in cases of vomiting, intestinal obstruction and circulatory shock
Rectal	Inexpensive	Not recommended as this is not proven to provide effective fluid uptake
Subcutaneous	Simple and inexpensive Suitable for very small patients where other routes are inaccessible	Painful Risk of infection Slow absorption Only relatively small volumes may be administered Only sterile, isotonic, non-irritant solutions may be used