Intravenous and Fluid Therapy

Indications: An actual need or a potential need for intravenous medications or fluid therapy.

ACPs may start an IV without age restrictions where as the patient must be ≥ 2 years of age for a PCP to perform the procedure.

0.9% NaCl Maintenance Infusion: If the patient is < 12 years of age (but must be ≥ 2 years of age for a PCP) infuse at a rate of 15ml/hr. If the patient is ≥ 12 years of age infuse at a rate of 30ml to 60ml/hr.

CautionIconMandatory Patch Point: Patch to BHP to administer IV NaCl bolus to patients < 12 years of age with suspected Diabetic Ketoacidosis (DKA).  Patients are at risk of hydrocephalus.

0.9% NaCL Fluid Bolus: If the patient is < 12 years of age infuse at a rate of 20ml/kg reassessing every 100ml (to a maximum volume of 20ml/kg up to 2000ml). If patient is ≥ 12 years of age infuse at a rate of 20ml/kg reassessing every 250ml (to a maximum volume of 2000ml).

Clinical Considerations: “PCP Assist IV” authorizes a PCP to cannulate a peripheral IV at the request and under the direct supervision of an ACP. Adult IO and CVAD procedures are auxiliary medical directives described elsewhere. Fluid administration via the IO or CVAD routes only apply to paramedics certified and authorized to perform these procedures. Microdrips and or volume control administration sets should be considered when IV or CVAD access is initiated for patients < 12 years of age.

 

Drug Calculations

(DD x Wt x SS) / (C x T)

DD = Desired Dose  |  Wt = Weight  |  SS = Solution Set  |  C = Concentration  |  T = Time

 

Solution Sets

Mini drip: 60gtts/ml, means every 60 drops equals 1 ml(1cc)

Macro drip: 10gtts/ml, means every 10 drops equals 1ml(1cc)