Nurse’s Notes: The Case of Giving Cold IV Fluids 

Posted: August 10, 2017 in Nurse
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Cold IV Fluids

Today in the ER, I received a client with a bottle of cold 100ml metronidazole.

He came yesterday and complained of severe stomach pain, had a blood pressure of 140/ 90mmhg and laboratory result showed low hemoglobin count.

With my few Arabic words, I asked him where he put his medicine. He told me in freezer. He retrieved it 10 minutes ago. So that explained why he brought a very cold bottle of medicine.

I told him I cannot give him cold medicine he brought. Instead I would change the bottle of metronidazole with the same brand and volume, but in a normal room temperature. He was hesitant at first, but I explained to him why cold medicines cannot be given to patients especially if he has cardiovascular problems. He agreed, thereof.

So what’s the deal with giving cold medications intrravenously?

First is the fact that intravenously medicines flow directly to the heart, which has a conduction system that requires medications not less 34° C. When it receives cold entities, cardiac problems will occur.

When giving cold IV fluids to trauma patients, bleeding will increase. The enzyme found in clotting factors requires normal temperature. They will change course of action when cold medicines or fluids will be introduce to patients.

Cold IV fluids induces hypothermia to patients, especially those who have small and weak veins.

To prevent the above complications, it is widely recommended to put all medicines and fluids at room temperature. When getting medicines from hospital fridge it is a must to allow it to cool for about 20 to 30 minutes prior t administration. Thus, be careful when receiving and giving medications.

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