G/w and wants iv so what to give

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What does “G/W” mean here, and is this an adult or child? Please share symptoms, vital signs, pregnancy status, comorbidities, and whether they can take oral fluids.
Do not give an IV medication or fluid based only on “G/W.” If there is hypotension, altered consciousness, severe dehydration, chest pain, breathlessness, active bleeding, or persistent vomiting, send for urgent in-person assessment.

Gen.Weekness

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fatigue AND evaluation

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general weakness adult evaluation red flags guideline intravenous fluids dehydration

For general weakness alone, do not start IV fluids or an IV drug blindly. Check first:
  • BP, pulse, temperature, oxygen saturation, mental status
  • Capillary blood glucose immediately
  • Hydration status, urine output
  • History of vomiting/diarrhea, fever, bleeding, chest pain, breathlessness, medicines, diabetes, kidney/heart disease, pregnancy
If the person is alert, drinking, and not dehydrated, give oral fluids/ORS and arrange clinical assessment with tests such as CBC, glucose, electrolytes, renal function, and urine examination.
If there is clear dehydration or low BP and they cannot drink, IV fluid needs clinician-directed prescribing, commonly an isotonic crystalloid such as 0.9% saline, with careful reassessment. Avoid empiric large fluid volumes in older adults or anyone with heart failure, kidney disease, or liver disease because fluid overload can be harmful.
Urgent referral/emergency care now for confusion/fainting, BP low, very fast pulse, low urine output, fever with deterioration, severe vomiting/diarrhea, black/bloody stool, chest pain, breathlessness, new one-sided weakness, slurred speech, or glucose <70 mg/dL (3.9 mmol/L). IV fluids are intended for true volume loss or circulatory compromise, not unexplained fatigue alone, as reflected in NICE IV fluid guidance.

Patient want if which to gife

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intravenous fluids AND adults

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NICE intravenous fluid therapy adults assessment prescription resuscitation 0.9 saline

For general weakness only, give no IV medicine or IV drip just because the patient requests it.
  • If stable, alert, BP normal, and able to drink: give oral water/ORS, food if appropriate, and assess the cause.
  • If clinically dehydrated or hypotensive and unable to drink: this needs a clinician's assessment and prescription. An isotonic crystalloid such as 0.9% normal saline or Ringer's lactate may be used, but the volume and rate depend on BP, pulse, age, weight, urine output, heart/kidney disease, and glucose.
  • Do not give dextrose routinely for weakness. Check capillary glucose first. Treat low glucose urgently according to protocol.
  • Do not add vitamins, antibiotics, steroids, or potassium to an IV without a diagnosis and prescription.
Send urgently for assessment if BP <100 systolic, pulse >90 with dizziness, fainting, confusion, low urine, fever, vomiting/diarrhea, bleeding, chest pain, breathing difficulty, or focal weakness. IV fluids require reassessment because excess can cause edema and breathing problems, especially in heart or kidney disease, consistent with NICE adult IV-fluid guidance.
Please provide age, BP, pulse, blood glucose, symptoms, oral intake, vomiting/diarrhea, and heart/kidney disease before deciding.
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