Intravenous fluid resuscitation: learning from a case study with complex presentation

Intravenous fluid resuscitation (IFR) is one of the most common interventions administered to patients with complex presentations of acute health deterioration. However, a growing body of evidence details variations in practice surrounding IFR due to differences in clinical guidelines, with the effectiveness of IFR reliant upon the selection of the appropriate rate, type and volume of fluid to be administered. According to governing bodies such as the Nursing and Midwifery Council, it is vital that both the prescriber and administrator of IFR have sound understanding of the physiological implications of the intervention and the evidence base for its efficacy. Critical reflection on nursing practice is fundamental in order to influence and improve future practice and patient outcomes. This article aims to extrapolate clinical learning from a case study from a physiological, evidence-based and role perspective on the administration of IFR.