Why is IV hydration not recommended in the care of the terminal patient?

Why is IV hydration not recommended in the care of the terminal patient?

• A. It may cause infection
• B. It provides insufficient hydration
• C. It can raise the risk of patient discomfort and respiratory distress
• D. It does not affect comfort

Answer: (C)

In end-of-life care, the focus is on maximizing comfort and minimizing burdens. Administering IV fluids in a terminal patient can increase the risk of discomfort and breathing difficulties because fluid overload can occur, leading to edema and pulmonary congestion. This can worsen dyspnea, crackles, and the need for more aggressive respiratory support or oxygen, which is distressing for the patient. The IV line itself also adds potential pain, infection risk, and unnecessary procedures that may not improve comfort. While dehydration can cause dry mouth, large-volume IV hydration near the end of life often does more harm than good to comfort, unless specifically requested for symptom relief and carefully weighed against potential burdens.

In end-of-life care, the focus is on maximizing comfort and minimizing burdens. Administering IV fluids in a terminal patient can increase the risk of discomfort and breathing difficulties because fluid overload can occur, leading to edema and pulmonary congestion. This can worsen dyspnea, crackles, and the need for more aggressive respiratory support or oxygen, which is distressing for the patient. The IV line itself also adds potential pain, infection risk, and unnecessary procedures that may not improve comfort. While dehydration can cause dry mouth, large-volume IV hydration near the end of life often does more harm than good to comfort, unless specifically requested for symptom relief and carefully weighed against potential burdens.