What is the best method for delivering a fluid bolus to small children?

Delivering a fluid bolus to small children requires a method that allows precise control over the volume and rate of administration, minimizing the risk of complications such as fluid overload. The push/pull method using a 20 mL syringe is particularly effective in pediatric patients for several reasons.

Firstly, the 20 mL syringe allows for the accurate delivery of fluid in a controlled manner, which is crucial when treating small children who may have a lower threshold for fluid volume changes. This method enables the nurse to measure and administer increments of fluid directly into the intravenous line, allowing for more precise regulation of the amount being delivered.

Secondly, the push/pull technique can facilitate quick adjustments if there are signs of fluid overload or if the patient’s condition changes while the bolus is being administered. It also provides a visible means to monitor how much fluid is being delivered, as the nurse can visually assess the amount remaining in the syringe.

Using an IV pump, while effective, may not always be necessary for small boluses, as the pump's programming can add complexity and delay, especially if rapid volume resuscitation is needed. A standard syringe can be useful, but it lacks the added benefits of the push/pull technique in terms of flexibility and control. Lastly