IV Therapy
IV Therapy in Spokane Valley
IV therapy at this practice is fluids and, where appropriate, vitamins delivered intravenously. It is provided as a medical treatment, after an evaluation — not as a walk-in retail service and not ordered from a menu. The person who decides whether it is appropriate for you is the person who will write the order and be responsible for your care.
Why this isn't a walk-in
In Washington, an intravenous hydration bag is a medication, and a medication order is required before IV hydration therapy is started. That is not a technicality — it is the rule, and it exists because giving fluid and nutrients directly into the bloodstream is a medical act, not a retail one.
Keanna Wolcott is a nurse practitioner with prescriptive authority. She evaluates the patient and writes the order herself. That is why there is no menu to order from here, and no same-day walk-in service. A patient is assessed before anything is infused, and what is given is decided clinically — based on the person in front of her, not on what someone picked off a list.
This is not a claim that other providers are doing anything wrong. It is a statement of what the rule is in Washington and what happens at this practice: the person who owns the business, the person who assesses you, and the person who writes the order are the same person.
What is offered here
IV hydration — intravenous fluid, assessed first and given only when it is the right answer rather than the default one.
Vitamin injections — including vitamin B12 and vitamin D, given by injection and decided on the basis of an assessment, not an assumption.
NAD+ — available here, provided only after an evaluation, and described honestly rather than marketed with claims it has not been shown to meet.
What IV therapy is and is not for
IV therapy can be an appropriate way to deliver fluids and certain nutrients in specific circumstances, decided on the basis of an assessment. It is not a treatment for illness. It is not a substitute for medical care. And it is not something that will make a healthy person healthier as a general matter — a person who is well does not become better by being given fluid they do not need.
If a patient is unwell, the right answer is an assessment, not an infusion. Being evaluated first is what makes it possible to tell the difference, and it is the reason this is not a walk-in.
Who this is and is not for
IV therapy requires an individual assessment for anyone with heart failure, kidney disease, uncontrolled high blood pressure, or a fluid restriction — because giving fluid intravenously to someone whose body cannot handle it is not safe, and that is exactly the kind of thing the evaluation exists to catch. It is not appropriate for anyone with a known allergy to a component of what would be given.
It is also not appropriate as a response to symptoms that need medical evaluation. If what you are experiencing is something that should be worked up, the answer is to be assessed — not to be infused and sent on your way.
This may not be right for you if:
- You have heart failure, kidney disease, or uncontrolled high blood pressure.
- You are on a fluid restriction.
- You have a known allergy to a component of what would be given.
- What you are feeling is a symptom that needs to be evaluated, not infused.
Risks, stated plainly
Bruising, pain or irritation at the IV site is common. Inflammation of the vein can occur. Less commonly, there can be infection at the site or an allergic reaction. We keep epinephrine on site. Risks are discussed with you before anything is done, and you are given a way to reach the practice if something concerns you afterward.
When Keanna treats you herself, she evaluates you as part of your care. When a registered nurse performs your treatment, Keanna completes a good faith exam first — in person or via face-to-face telehealth, whichever suits you — to meet Washington’s safety guidelines. Either way, the person responsible for your care is the one who decides whether the treatment is appropriate for you.
Questions and answers
Can I walk in and pick an IV off a menu?
No. In Washington an intravenous hydration bag is a medication, and a medication order is required before IV therapy is started. Keanna is a nurse practitioner with prescriptive authority, she evaluates you, and she writes the order. That is why there is no menu to order from and no same-day walk-in service here.
Why does an IV bag count as a medication?
Because it is. The fluids and any vitamins added to them are given intravenously, which means they enter your bloodstream directly. Washington treats that as a medication, which means it requires a medication order from a provider with prescriptive authority — not a selection from a list.
Will I be seen before anything is infused?
Yes. Keanna evaluates you first — in person or via face-to-face telehealth — takes your history, and decides whether IV therapy is appropriate for you and, if it is, what is appropriate to give. The person writing the order is the person assessing you.
Is IV therapy a treatment for being sick?
No. It is not a treatment for illness, and it is not a substitute for medical care. If you are unwell, the right answer is an assessment — not an infusion. IV therapy here is provided when it is clinically appropriate, not as a response to symptoms that need to be evaluated.
Are there risks?
Yes. Bruising, pain or irritation at the IV site is common, inflammation of the vein can occur, and less commonly there can be infection or an allergic reaction. We keep epinephrine on site. Risks are discussed with you before anything is done.
How do I start?
Book an evaluation with Keanna, online or by calling or texting (509) 870-3747. The first step is a conversation and an assessment, not an infusion.
Book your appointment
Every treatment starts with an evaluation with Keanna. Book online, or call or text the practice.