Intravenous Fluid Discontinuation
Intravenous Fluid Discontinuation - Related Videos
07:22
Discontinuing Intravenous Fluids and a Peripheral Intravenous Line
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2023
Source: Madeline Lassche, MSNEd, RN and Katie Baraki, MSN, RN, College of Nursing, University of Utah, UT Intravenous (IV) fluid administration and peripheral IV catheters (PIVs) may be discontinued for a number of reasons. The most common reason for discontinuing IV fluids is that the patient has returned to normal body fluid volume (euvolemia) and is able to maintain adequate oral fluid intake or is being discharged from the hospital. In addition, the Centers for Disease Control Guidelines...
07:08
Assessing and Flushing a Peripheral Intravenous Line
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2023
Source: Madeline Lassche, MSNEd, RN and Katie Baraki, MSN, RN, College of Nursing, University of Utah, UT After peripheral intravenous (IV) access is initiated, it is important to assess and maintain the IV catheter according to institutional policies and nursing standards of practice. The regular assessment of the insertion site and the surrounding areas for signs of complications is necessary to prevent IV catheter complications, including infiltration, phlebitis, infection, extravasation, or...
12:09
Methods for Intravenous Self Administration in a Mouse Model
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Cited by 35 •
2012
The intravenous self-administration (IVSA) paradigm is considered to be the gold standard in examining the reinforcing properties of drugs of abuse in rodents. This manuscript outlines the experimental procedures and surgical techniques necessary to obtain reliable IVSA data. In particular, meticulous catheter implantation and maintenance are highlighted.
11:39
Peripheral Intravenous Catheter Insertion
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2023
Source: Madeline Lassche, MSNEd, RN and Katie Baraki, MSN, RN, College of Nursing, University of Utah, UT The purpose of peripheral intravenous catheter (PIV) insertion is to infuse medications, perform intravenous (IV) fluid therapy, or inject radioactive tracers for special examination procedures. Placing a PIV is an invasive procedure and requires the use of an aseptic, no-touch technique. Common IV venipuncture sites are the arms and hands in adults and the feet in children. According to...
02:17
Separation of Bacteria by Capsule Amount Using a Discontinuous Density Gradient
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2025
Source: Feltwell, T., et.al. Separating Bacteria by Capsule Amount Using a Discontinuous Density Gradient. J. Vis. Exp. (2019)This video demonstrates the use of a discontinuous density gradient to separate bacterial strains based on capsule amount. By centrifuging a transposon mutant library through the gradient, bacteria with different capsule densities localize to distinct layers. The separated fractions can then be collected for downstream analysis.
FAQs
Stopping therapy is best supported when several findings align: the patient is hemodynamically stable, hydration is adequate, renal function and urine output are acceptable, laboratory values do not indicate an ongoing need, and oral intake can provide sufficient support. Considering these findings together is more reliable than relying on a single measurement, because fluid requirements change with illness severity and gastrointestinal function.
Renal function and urine output help show how the body is handling fluid, while laboratory values can reveal continuing electrolyte or glucose-related needs. These measures should be interpreted alongside hydration and hemodynamic status rather than in isolation. A patient whose intake, kidney-related indicators, or clinical condition changes may no longer meet the criteria for stopping, even if earlier findings were reassuring.
Timely discontinuation balances the benefit of avoiding unnecessary parenteral support against the risk of stopping too early. Continuing fluids when they are no longer needed can contribute to fluid overload, electrolyte disturbances, hyperglycemia, and catheter-related complications. Conversely, changing illness severity or inadequate gastrointestinal intake may require therapy to resume, so discontinuation is a monitored clinical decision rather than a permanent endpoint.
Clinicians first reassess hydration status, hemodynamic stability, renal function, urine output, laboratory values, and oral intake. If the combined assessment indicates that parenteral volume, electrolyte, or glucose support is no longer required, they stop the infusion and determine whether catheter removal is appropriate. The patient then transitions toward oral hydration or nutrition, with continued observation for changing needs.
Catheter removal is appropriate when the infusion has been stopped and no ongoing intravenous support or treatment need is identified through clinical assessment. Removal can reduce exposure to catheter-related complications, but it should follow confirmation that therapy will not need to continue. Because requirements can change, clinicians continue monitoring after removal and reassess if intravenous fluids may need restarting.
The ability to maintain adequate oral intake supports transition away from parenteral support because hydration or nutrition can be maintained without the infusion. Clinicians must also consider whether gastrointestinal function allows intake to remain adequate. If oral intake becomes insufficient or illness severity changes, the balance can shift and intravenous fluids may need to be restarted, making follow-up clinically important.