What is the Difference Between IV Infusion and IV Bolus?

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The main difference between IV infusion and IV bolus lies in the rate of fluid administration and the purpose of each method.

IV Infusion:

  • Fluid administration through a needle or catheter inserted into the patient's vein.
  • Flow rate is slow, and the total time duration of administration is indeterminate.
  • Used to replace losses in fluids and electrolytes, provide nutritional support, deliver intermittent medications or fluid, and administer blood and blood products.
  • Steady levels are achieved after an initial delay, and the flow rate can be varied as needed.

IV Bolus:

  • Rapid delivery of a particular medication through the IV route.
  • Fluid line is open, allowing the IV cocktail to enter the body more quickly.
  • Administered in about 20-35 minutes, providing rapid relief.
  • Used for emergency and life-threatening situations, or when time is of the essence.

In summary, IV infusion is a slower method of fluid administration used for various purposes, while IV bolus is a faster method used for rapid delivery of medications or in emergency situations.

Comparative Table: IV Infusion vs IV Bolus

Here is a table comparing the differences between IV infusion and IV bolus:

Feature IV Infusion IV Bolus
Definition Intravenous infusion refers to fluid administration through a steel needle or plastic at a slower flow rate, usually for an extended period. Intravenous bolus refers to a single dose of a vitamin or medication administered over a short time, typically less than 30 minutes.
Amount of fluid involved 1 liter or more containing fluid and electrolytes 1-3 liters or less, usually containing a drug or medication
Schedule Continuous infusion Intermittent administration
Duration of administration Variable, based on the indication or prescription Short, typically less than 30 minutes
Uses To replace losses in fluids and electrolytes, to maintain them, to provide nutritional support, to deliver intermittent medications or fluid, and to administer blood and blood products. To provide rapid delivery of a particular medication through the IV route, often used for situations where time is of the essence, such as administering insulin to a type 1 diabetic patient.

IV infusion is a method of slow-rate drug delivery into the bloodstream, while IV bolus is a way of rapid delivery of drugs into the bloodstream via a vein.