A patient receiving rapid IV fluids develops severe breathlessness, crackles and falling oxygen saturation. Which action has priority?
Correct answer: A. Slow or stop the infusion and assess breathing
- A. Slow or stop the infusion and assess breathing
- B. Place the patient flat and offer oral fluids
- C. Flush the line rapidly with normal saline
- D. Apply a warm compress to the IV site
Explanation
Breathlessness, crackles and falling oxygen saturation suggest fluid overload with an immediate breathing problem. The nurse should stop or slow the infusion, sit the patient upright, assess airway and breathing, provide oxygen as prescribed and notify the clinician.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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