IV Fluids on a Family Member at HOME - page 4

I was wondering how many people have actually started IVs and given IV fluids to their family members at home in an attempt to avoid an ER visit in cases of serious dehydration. I have not done this... Read More

  1. by   notjustanurse07
    I was totally just wondering this myself! I'm sure this is illegal, since the standard RN license does not allow us to initiate medications or treatments in the absence of an approved protocol (certainly not in place at home!). Similarly, I've known nurses that have been fired for starting IV fluids on themselves while on the clock. Acquiring the supplies would be an obvious issue, since we could probably only get them if we took them from our employers--certainly grounds for termination. You could probably get these things off the internet, but I would worry about the quality. Lab tests and physician judgement are certainly valuable pieces of the puzzle, and inappropriate use of fluids could potentially deadly. I could only see pursing this under dire circumstances: 1.) during a pandemic, where it would be either more dangerous to seek treatment at a hospital than it would be to do so at home, or where the system was so overloaded that I would be desperate to intervene. 2.) If I am out in a desolate area and providing fluids would be a likely intervention to prevent death. Either way, it seems that while the option exists, it should only be considered under terrible conditions. Ideas? Become a corpsman or paramedic and get greater access to field supplies, become an advanced practice nurse to gain prescriptive authority, or move to a country with no regulation regarding the use of medical supplies and medicine!
  2. by   Rob72
    Quote from Miami NightNurse
    I am curious let's say you lived way out in the Country and there was a blizzard, you are a home health nurse so you have IV equipment there. You're family member has been having massive vomiting and diarrhea during a 3 day blizzard and no emergency vehicles could reach you. Then would you give them IV fluids? I know I would and anything else I could get my hands on to help them.
    Most folks won't find themselves in the/this situation, but yes, IVFs and other supplies are fairly available froma variety of sources. If you're living/practicing in the Turd World, its much less problematic (providing you have the supplies).

    If you have a basic, even pocket microscope, and a couple of slides, you can do a basic blood count. Watch pulse & BP.

    Here's a classic.http://www.amazon.com/Ditch-Medicine...3096717&sr=1-1

    As with anything, a little knowledge is a dangerous thing. As long as you reasonably, "know what you don't know", it would be safe.
  3. by   xtxrn
    Wouldn't do it- no how, no way- even if I had a case of each thing needed.

    I'd want my loved one seen by an MD, to be sure that the dehydration wasn't due to something a LOT more serious (peritonitis- dad had that after he felt something "shift" in his abdomen when his appendix blew- I wasn't even in nursing school yet- but knew it was bad; sepsis- w/N/V as a symptom; electrolytes out of whack, etc).
  4. by   nursejanes
    250 ml Fluid IV (saline mix) bags can be purchased off of Amazon.com (no Rx). I have PCOS & suffer from Chronic menorrhagia & dehydration. I sometimes am too weak during the episodes to drink/eat for proper hydration. I don't drive, & it is difficult for me to go to the ER (plus I have no income). It is also difficult for me to wait in the ER 8 hours for treatment. What always happens in the ER is fluid ivs. I am 26 & have been receiving this treatment since I was 14. It would be great for me to be able to have this at home. The university I went to offered this service to me. Also, I have received ivs at a alternative "wellness center". The results have always been the same. I go from horrifically pained & fatigued (sleeping 38 hours straight) to doing chores like laundry & singing. People administer insulin shots, certain cancer drug shots, etc (serious medications) at home. I have not tried home ivs, but have considered it for years. I cannot see the difference.
  5. by   Jasper69
    I know I'm nearly a decade late on this post, however, I have recently been researching and trying to find alternate methods for self home hydration, besides PO H2O etc. I often find myself dehydrated, from Work and leisure and I often acquire saline from a colleague(which will soon expire) to administer my own saline.. It's helped me numerous times, and can often "feel it" right away when I've had rough weeks etc. So personally I feel the laws on acquiring saline w/o a script are obsurd... I see NO DIFFERENCE at all between the "hazards" of overhydrating and the potential life threatening affects of any other OTC medication.. It's pretty much common sense. If you don't know how to do it, find a medical professional to help/teach you. And don't "oversose", or go over board.. I feel an insert with patient education on indications, dosage, contraindications, risk, and alternate methods of treatment, would suffice well, and I can almost certainly GUARANTEE that there will exponentially more people benefiting and saving time and money, opposed to those that have a negative experience of any kind due to legalizing OTC purchasing . This is something that seems like it's micro-managed due to greed, and ignorance moreso than being controlled for "patient safety" ..Which, we all know is a joke! Patient care has taken a back seat as if late, and it continues to only be about money anymore... Sorry for the tangent haha!! So, more or less, my advice would be, find a vetinary clinic that can give you script to fill online, and buy multi-use vial(s) that are large, and find a friend or family member with IV skills to train properly, and everything else should fall into place.. Thanks! PS-and don't over due it!
    Johnny RN (R) ; RT(R); MR(R)