IV Bolus Order

[Little_Mouse]

I just want to clarify something with you guys...

A MD orders: bolus IV Saline 250ml over 2 hours then 100ml/hr.

The "Bolus" isn't really a bolus per say--just run the NS at 125ml/hr for 2 hours then change the rate to 100ml/hr. (Pt's BP was running a little low)

Am I correct?

I showed the order to my Charge nurse just to clarify and she said the order wasn't clear enough. She said to just run the 100ml/hr...but the order sounded pretty clear...or am I wrong here?

(btw, pt's BP was up to normal after wards though)

(Even after a year, I still have to work on my confidence)

[roma4204, BSN, RN]

I would have ran it at the 125 for 2 hours like it said then 100/hour. But if my charge nurse thought it was the other way I would have called and clarified the order first.

[JSTARZ]

hmm...I am a charge nurse and I am not too sure what the fret is all about. I see orders like this all the time, nothing unusual. An "IV Bolus" is merely a large amount of fluid or drug dose given rapidly at one time. So yes I agree with "roma4204" run it at 125 mls for 2 hours then switch to 100 mls. The only thing in the order I would consider questionable is the "Saline" part!! Although one would assume NS d/t the clients hypotensive state it is still BEST to double check small things like this. What concentration? NS? 1/2 NS? But yes, It is a very good practice to double check if you do not feel the order is clear enough. Hope this helps. :)

[spongebob6286, BSN, RN]

run it 125cc/hr for 2 hrs then 100cc/hr therafter