What should be done with IV fluids during acute airway obstruction management?

• A. Open IV fluids wide open, hang another bag
• B. Stop IV fluids
• C. Give dextrose 50
• D. Administer antibiotics

Answer: (A)

Maintaining IV access and keeping fluids flowing is crucial when acute airway obstruction is being managed. If the patient’s circulation is compromised or can become compromised during airway intervention, continuing IV fluids helps support blood pressure and organ perfusion and ensures a rapid route for medications and potential fluid boluses. It also reduces delays in delivering life-saving drugs during rescue maneuvers.

Stopping IV fluids can worsen perfusion and delay treatment. Giving dextrose 50 targets only blood glucose and does not address airway or perfusion unless hypoglycemia is present. Antibiotics are not part of the immediate management of an acute airway obstruction unless an infection is specifically suspected or confirmed.