Indications for intravenous (IV) fluid administration following endurance race*

WARNING: Before giving any IV fluids, the clinician must be certain the runner or racer does not have acute hyponatremia (most likely from excessive hydration during race)

Persistent orthostatic blood pressure drop or persistent symptoms of exercise-associated collapse (EAC) despite 20 to 30 minutes of supine rest with leg elevation and oral fluids

Persistent temperature >104°F (40°C) or <95°F (35°C) despite appropriate, standard interventions to cool or warm the patient

Hypoglycemia <60 mg/dL (3.3 mmol/L)

Severe, unabating muscle cramps in legs or throughout body

Persistent nausea and vomiting, and unable to tolerate oral fluids

Significant diarrhea with ongoing fluid losses

Confused or clouded sensorium

"Not doing well" per judgment of experienced medical staff

* This is a list of some relatively common and important indications. It is not meant to be exhaustive and clinicians must use their judgment to determine whether placement of an IV catheter is necessary.

Graphic 111046 Version 3.0

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Indications for intravenous (IV) fluid administration following endurance race*