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Title: Intensive care nurses' self-reported practice of intravenous fluid bolus therapy.
Austin Authors: Eastwood, Glenn M ;Peck, Leah ;Young, Helen ;Paton, Emily;Glassford, Neil J;Zhang, Ling;Zhu, Guijun;Tanaka, Aiko;Bellomo, Rinaldo 
Affiliation: Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia
Department of Nephrology, West China Medical School, West China Hospital, Sichuan, China
Department of Intensive Care, The Fourth Hospital of Hebei Austin Hospital, Hebei, China
Issue Date: Dec-2015 2015-08-17
Publication information: Intensive & critical care nursing 2015; 31(6): 352-8
Abstract: To describe self-reported practice of fluid bolus therapy by intensive care nurses. Multi-choice questionnaire of intensive care nurses conducted in July, 2014. Major university tertiary referral centre. 141 (64%) intensive care nurses responded. The majority of respondents identified 4% albumin as the commonest fluid bolus type and stated a fluid bolus was 250ml; however fluid bolus volume varied from 100ml to 1000ml. Hypotension was identified as the primary physiological trigger for a fluid bolus. In the hour following a fluid bolus for hypotension almost half of respondents expected an 'increase in mean arterial pressure of 0-10mmHg'; for oliguria, >60% expected an 'increase in urinary output of '0.5-1ml/kg/hour'; for low CVP, 50% expected 'an increase in CVP of 3-4mmHg'; and, for tachycardia, 45% expected a 'decrease in heart rate of 11-20beats/minute'. Finally, 7-10% of respondents were 'unsure' about the physiological response to a fluid bolus. Most respondents identified fluid bolus therapy to be at least 250ml of 4% albumin given as quickly as possible; however, volumes from 100 to 1000ml were also accepted. There was much uncertainty about the expected physiological response to fluid bolus therapy according to indication.
DOI: 10.1016/j.iccn.2015.06.001
ORCID: 0000-0002-1650-8939
PubMed URL: 26292919
Type: Journal Article
Subjects: Acute care nursing
Bolus fluid therapy
Fluid resuscitation
Intravenous fluid
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