When Administrating Medication Through An Ng Tube Or Gastrostomy Tube How Many Mls Of Normal Saline

What would happen if I flush an IV with water rather than normal saline?

Your blood has a salt content to it (osmotic pressure). If you squirt water into your veins, you will cause a small amount of hemolysis as the red cells bath in a hypotonic solution for a short time. Not a big deal but how do you know the water is lean enough? Your blood is sterile and if you inject a non sterile fluid into it, a bacterium could set up home in any place it lands. Your white cells are constantly tracking these invaders down, so again, you might dodge a bullet.In an emergency, maybe you could substitute sterile water to clean a line but any chronic use of sterile water carries a risk of diminished renal function from all the broken red cells you caused. Red cell stroma can clog up the glomeruli of the kidney, diminishing their usefulness. You lose kidney function with age anyway, Don’t put needless wear on them by routinely using sterile water.If you were dehydrated from being lost in the dessert, when you finally reach the hospital, you are hemo-concentrated … your doctor may order half strength saline to infuse into (0.43% salt content instead of the usual 0.85% saline) because your salt content may be high from sweating out. That’s the most stress a red cell can take without bursting … but they are under that stress for a very short time as the half strength saline will get mixed with the overstrength blood and come out just right.

Why is the world still stuck on these old methods, drip or cannula, intravenous fluids or IV? Why can't medics research on another easier way of giving drip?

There are options such as Intraosseous infusion (OI) and central venous catheter (CVC) if venipuncture fails. The latter is usually done for long term infusion or to initiate dialysis. OI is used more often on pediatric cases.In my training place, one of the most common alternative is the saphenous vein cutdown. A surgical procedure usually on pediatric cases.In my place this is usually the choice when the pediatricians (they do the OI here) on-call are still busy accompanying c-sections, or are not expected to arrive sooner than the surgeon. For example, at 2 AM the pediatrician on-call just gone home after a c-section and the surgeon is still around when you have a baby boy with severe diarrhea in the ER with all his 4 baby fat limbs are punctured already.On better financed hospitals, vein finder such as the Accuvein (video below) are sometimes available but using this is not a guarantee of successful venipuncture. From experience, one can puncture assisted with these vein finder and still misses (too deep/superficial, swollen vein). Only by perfected technique, accumulated by experience, one can guarantee succcessful venipuncture attempt. With experience, behind it is many trial and error.The conventional intravenous puncture is still the most practical IV access immediately available and the most cost effective approach as a standard around the globe. The most experienced caregivers may often perform the procedure with minimal pain, or none at all. Each patients have varying degree of pain tolerance. The alternative IV access such as the OI & CVC actually requires anesthesia injection for pain. Yet we can’t always give anesthesia for every IV access ever. It will be painful to varying agree. We are not born with permanent car fuel cap, unless you count our body’s orifices. If a less painful method of IV access that is as pragmatic and as cost-effective as the IV cannule (or better) is proven, it should be brought into light asap.

Do IV fluids make you gain weight? I had a surgery for appendicitis two days ago and my weight has shot up by 5kgs, is it normal?

five kilograms is ~11#. one gallon of water is ~8#.If you were slightly dehydrated from pain and cramping before the surgery, you maynot have been at optimum water saturation. Water in IV goes into the bloodstream where it hydrates your cells back to the normal hydration level.Assuming you are not on a diuretic like lasix, you would retain some of that water to your normal body set point for hydration. Unless you suffer from a hydration problem, your body regulates water content in a range. When you are stressed, the body responds by raising your set point for survival. Not a lot but remember water is 8#/gallon.This is also true for people over conscience about weight gain or loss and bodybuilders in particularly. In order to highlight muscle definition, water content must be lowered for display and performance below the training level. Once the contest season is over drink to keep yourself healthy, knowing that the body will eliminate excess water.Under hydration causes problems in cells and over-hydration exhausts electrolytes. Too much water leaves your urine almost clear. There is a scale av ailable for color. Ask for one from a urologist. sale your urine for 24 hours and match the color to the scale. too much color is lqaden with high waste concentration - drink more. no color, you are over hydrating - drink less.If you are going to an arid area, over hydrate in preparation as you will lose water content faster than normal as your body equalizes with the environment. Try this, place a clear glass of water on an outside window sill. measure the level on the hour. It will try to equalize with the humidity in the atmosphere. Your body will also.