I know we have discussed this before on this list serve....What is your practice regarding KVO.... What rate is your minimum? Do you require the physician's order? Is that what is happening in reality? How did you come the established rate for KVO? Best practice, documented studies or pull it our of a hat?Â When there is an infusion that runs at less than your KVO rate do you add a supplemental fluid at a rate that then brings the whole infusion up to the KVO required? example... Mag repletion at 11.5 cc/h and KVO rate minimum is 20cc/h.