College

You decide to start normal saline intravenously. Which of the following would be the most appropriate initial rate?

A) 100 mL/hr
B) 150 mL/hr
C) 200 mL/hr
D) 3000 mL over 30 minutes
E) 3000 mL over 3 hours

Answer :

Final answer:

The appropriate rate for starting normal saline intravenously will vary depending on the patient's condition and specific needs. In a normal situation, a common choice might be 100 mL/hr. However, in urgent situations or if the patient is dehydrated, a higher rate might be necessary.

Explanation:

In general, it's crucial to ensure the rate is not too rapid to avoid flooding the patient's system. But without more specific information about the patient, it's challenging to definitively indicate an initial rate. However, let's consider a typical situation with a hydrated patient who requires strictly maintenance fluids. A common approach might be to start at 100 mL/hr (Option A). This rate will likely provide the necessary hydration without causing issues related to over-hydration. However, in situations where the patient might be dehydrated or requiring urgent fluid resuscitation, a higher rate may be recommended (saline Solution B, C, or even D). To make an accurate judgment, the patient's age, weight, hydration status, presence of any diseases like kidney or heart failure, and reason for the IV therapy need to be considered.

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