What are the 4 R’s of IV Therapy
Recovery from any mental health condition takes time and does not happen overnight. For some people, it takes weeks or months and the process involves gradually rebuilding the brain and body. It seems to be a long wait and it is indeed a tough situation where a person will undergo an uncomfortable situation of brand impairment.
IV Therapy Deerfield Beach follows a systematic approach and makes the patient feel better. IV Therapy is a treatment that helps a patient to heal soon and it has had a good impact on many patients. The optimal IV fluid amount has to be given to the patient and monitored to see the desired result.
Let’s discuss the four R’s of IV Therapy.
Before a patient starts the treatment of IV Therapy, the patient should be assessed with the requirements of electrolyte and fluid from their history and undergo a thorough clinical examination.
Resuscitation is the process where a patient is treated for any physiological disorders. It is also an essential part of trauma surgery. If a patient requires IV fluid resuscitation, the right number of crystalloids containing sodium should be given for some time.
Reassessment should be included when a patient is getting IV fluids for resuscitation. Usually, a patient is reassessed using the ABCDE approach which means Airway, Breathing, Circulation, Disability, and Exposure. This process also includes monitoring the respiratory rate, blood pressure, and pulse at regular intervals. It also includes monitoring daily reassessments of laboratory tests like creatinine urea, etc., the status of clinical fluid along with the fluid balance charts. Also, monitoring the weight of the patient twice per week. There are many cases where patients receive IV Therapy.
Those patients who take IV fluids for addressing their redistribution or replacement issues will be monitored more regularly.
Those patients who are at high volume gastrointestinal losses, require and additional urinary sodium monitoring.
Those patients who are already on IV fluid therapy for a long time and whose condition is quite stable will be monitored less. However, it also depends on the IV Therapy plan.
For those patients, who are transferred to a different location during the course of the treatment, will have to undergo reassessment at the new location. This will enable them to adjust to the new location at the time of changing the treatment.
Routine Maintenance indicates those patients who are require IV fluids as part of routine maintenance alone. In such cases, the dosage of the fluids should be adjusted based on the patient. It should not exceed a certain limit and should be about:
- Water – 25–30 ml/kg per day
- Chloride, Potassium, and Sodium – 1 mmol/kg per day
- Glucose – 50 – 100 g per day
Consider a few cases like:
1) For obese patients, the IV fluid should be proportionate to their body weight. Based on the BMI, the fluid should be given and if the BMI is more than 40 Kg/m2, experts should handle it.
2) Patients who are frail, old, have cardiac issues, renal issues, consider to provide less fluid.
During routine maintenance, consider providing IV fluids during the daytime in order to promote wellbeing and sleep.
Replacement and Redistribution – When a patient is going for replacement and redistribution, the IV fluid will be adjusted, ether it is increased or decreased, to balance the existing fluid and to adjust the fluids. If any patient has complex fluid or imbalance like severe sepsis, hyponatremia, gross edema, renal issues, cardiac issues, and post-operative issues, then the treatment should go through expert advice and then provide the required fluids.
IV Therapy Deerfield Beach has healthcare experts to prescribe and deliver IV fluid therapy. The experts are trained on various therapies and are assessed at regular intervals.
Healthcare experts who are involved in IV fluid therapy are competent in:
- Understanding and implementing the fluid physiology and checking the electrolyte balance in patients during illness.
- Assessing the fluid and electrolyte requirements of the patient.
- Assessing the IV fluids risk and benefits.
- Prescribing IV fluids to patients appropriately, administering, and monitoring them.
- Evaluating the changes seen in the patient, documenting it, and taking the next step.