title: Intensive care nurses' self-reported practice of intravenous fluid bolus therapy.
abstract: OBJECTIVE
  To describe self-reported practice of fluid bolus therapy by intensive care nurses.
  
  
  METHODS
  Multi-choice questionnaire of intensive care nurses conducted in July, 2014.
  
  
  METHODS
  Major university tertiary referral centre.
  
  
  RESULTS
  141 (64%) intensive care nurses responded. The majority of respondents identified 4% albumin as the commonest fluid bolus type and stated a fluid bolus was 250ml; however fluid bolus volume varied from 100ml to 1000ml. Hypotension was identified as the primary physiological trigger for a fluid bolus. In the hour following a fluid bolus for hypotension almost half of respondents expected an 'increase in mean arterial pressure of 0-10mmHg'; for oliguria, >60% expected an 'increase in urinary output of '0.5-1ml/kg/hour'; for low CVP, 50% expected 'an increase in CVP of 3-4mmHg'; and, for tachycardia, 45% expected a 'decrease in heart rate of 11-20beats/minute'. Finally, 7-10% of respondents were 'unsure' about the physiological response to a fluid bolus.
  
  
  CONCLUSIONS
  Most respondents identified fluid bolus therapy to be at least 250ml of 4% albumin given as quickly as possible; however, volumes from 100 to 1000ml were also accepted. There was much uncertainty about the expected physiological response to fluid bolus therapy according to indication.
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: glenn.eastwood@austin.org.au.
authors: Glenn M
authors: GM
authors: Eastwood
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: leah.peck@austin.org.au.
authors: Leah
authors: L
authors: Peck
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: helen.young@austin.org.au.
authors: Helen
authors: H
authors: Young
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: phillipa.paton@austin.org.au.
authors: Emily
authors: E
authors: Paton
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: neil.glassford@austin.org.au.
authors: Neil J
authors: NJ
authors: Glassford
authors: Department of Nephrology, West China Medical School, West China Hospital, Sichuan, China. Electronic address: zhanglinglzy@163.com.
authors: Ling
authors: L
authors: Zhang
authors: Department of Intensive Care, The Fourth Hospital of Hebei Austin Hospital, Hebei, China. Electronic address: icuzhuguijun@163.com.
authors: Guijun
authors: G
authors: Zhu
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: Aiko.tanaka@austin.org.au.
authors: Aiko
authors: A
authors: Tanaka
authors: Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: rinaldo.bellomo@austin.org.au.
authors: Rinaldo
authors: R
authors: Bellomo
mesh_terms: D000418:Albumins / Q000008:administration & dosage; D002983:Clinical Competence / Q000592:standards; D000066491:Clinical Decision-Making; D015331:Cohort Studies; D003422:Critical Care; D064648:Critical Care Nursing; D005260:Female; D005440:Fluid Therapy / Q000451:nursing*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D057566:Self Report; D019354:Sodium Lactate / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D014739:Victoria
chemical_list: D000418:Albumins; D019354:Sodium Lactate
keywords: Acute care nursing; Bolus fluid therapy; Decision-making; Fluid resuscitation; Intravenous fluid