Fluids in Moderate Sedation

[cardinal14]

Hi, I am an experienced Endoscopy/Moderate Sedation RN who has worked at 4 diffferent places over 15 years that did moderate sedation for upper, lower, bronch. The sites were both civilian and military/fed gov. facilities. In all facilities I was ordered to and was used to hanging a bag of IV fluids to KVO and act as a carrier for the sedation drugs as well as to be handy for hypotension. Now I have started to work in another state and the practice is to NOT hang fluids on any mod sed. cases. I tried to find literature but there is nothing there. I would like to do a comparative study and ask you what you do in your facility. Just a type: civilian, government, military etc and a hang or don't hang answer is fine. Thanks.

(This is also posted in the GI Nurse section but crosses to Ambulatory Nursing too)

[stlrgrl]

Hi, I am an experienced Endoscopy/Moderate Sedation RN who has worked at 4 diffferent places over 15 years that did moderate sedation for upper, lower, bronch. The sites were both civilian and military/fed gov. facilities. In all facilities I was ordered to and was used to hanging a bag of IV fluids to KVO and act as a carrier for the sedation drugs as well as to be handy for hypotension. Now I have started to work in another state and the practice is to NOT hang fluids on any mod sed. cases. I tried to find literature but there is nothing there. I would like to do a comparative study and ask you what you do in your facility. Just a type: civilian, government, military etc and a hang or don't hang answer is fine. Thanks.

(This is also posted in the GI Nurse section but crosses to Ambulatory Nursing too)

I have only worked in civilian clinics/ hospitals. Experienced in sedation/ GI and infusion. Have always hung fluids. Fluids not only assist in delivering the meds, but reduce vein irritation. They also relieve possible dehydration, can help maintain hemodynamic and electrolyte balance and reduce problems such as nausea and decrease recovery room time. Not sure what the motivation would be for not hanging fluids.

What is the reasoning behind this? Is there documentation/ research to support it? Someone has made this decision, can they support it?

[Student Mom to Three]

Civilian facility- we mostly do GA, with the occasional IV sedate. We treat the sedation the same as the GA and hang. We actually give lots of fluid. CRNA's feeling is that it helps with PONV and hypotension.

[emtb2rn, BSN, RN, EMT-B]

Civilian ER. Hang fluid for conscious/moderate sedation.