Kvo

[ResTech]

I was curious if there was actually a real defined KVO rate. In researching online I kinda gathered that there is not or it is locally defined by the agency you work for. Is it true that physician orders of "KVO" are not valid unless an actual flow rate is specified?

 

[mycrofft]

Our standardized procedures call for

120 lpm...

 

[ResTech]

Im not sure what your thinking off but that's certainly not an IV flow rate. 120 liters per minute (lpm) is a lot of fluid!

 

[Ridryder911]

According to AHA ACLS it is 5-30 ml/hr. Enough to prevent IV from occluding.

R/r 911

 

[mycrofft]

Hey, been along day and I'm dehydrated!

Sorry, that's my PO consumption right now. Only a five minute bolus at that rate though.:blush:

It actually reads "120 cc". Never said it was right. The whole book needs to be thrown up in front of a fan, or into one. No mention of ASA for possible MI and still used injectable Compazine when we have Tigan which is safer.

 

[ResTech]

Thanks.... I know that seems like a pretty elementary question but I was reading some nursing forums and they were strongly debating the KVO and physician orders thing. So just curious as to an actual standard for KVO and the source.

 

[Ridryder911]

Each institution should have in writing in intravenous therapy care what KVO/TKO rate is. I have NOT seen one that has not. Usually again it may be a variable rate ratio as described.

R/r 911

 

[dmiracco]

Here it is 20cc/hr and I agree that 120cc/hr for KVO is probably a bit much

 

[tydek07]

120 lpm...

Come on people... its very simple to understand. 120 Liters per Month. nah, thats still too much :glare: ... I tried to help you mycrofft haha

 

[Gi.Josiah6201]

KVO drip rates

My facility typically runs 30ml/H but I often wonder for someone that has CHF / pulmonary edema and is running KVO over days / weeks if even this small amt is too much. Been keeping my older pt's that are KVO at about 10mL/H. But thats just me.

 

[Ridryder911]

Remember the normal urine output is about 30 ml/hr and with an additional diuretic the fluids over 24 hours is nominal.

R/r 911

 

[mycrofft]

Thanks tydek, I'll take my whipping.

With our pt's so-called veins most of the time our start attempts are futile, lucky for them. We also do not give IV drugs except D50...yet...:blush: