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Practice Consideration
IV Fluid Shortage Management (Practice Consideration)
Last AANA revision: 2024
Our paraphrased summary. The text below is our own condensed phrasing for board review, derived from the AANA Practice Manual document of the same name. The AANA document is the authoritative source — read it on aana.com for legally-binding language.
Frequent national IV fluid shortages (LR, NS, D5W) require contingency planning. Strategies: alternative fluid selection, conservative fluid administration, oral hydration when feasible, prioritization protocols.
Key points
- 1.Substitution hierarchy: balanced solutions (LR, Plasma-Lyte) > NS (chloride load concerns)
- 2.Conservative fluid: goal-directed therapy, restrictive intra-op (esp. lap surgery), permissive hypotension trauma
- 3.Oral hydration: clear liquids up to 2h pre-op (ASA), reduces IV need post-op
- 4.Bolus prioritization: hemorrhage > sepsis > maintenance
- 5.Communicate plan to surgical team + nursing during shortages
This is an exam-prep summary, not a substitute for the full AANA document. Read the source at aana.com for authoritative wording. Education only.