Coolant carries heat away from the engine and stops it freezing in winter. It also contains additives that protect the engine from corrosion, and they wear out over time.
It depends on the coolant type. Many cars want the first change at around 5 years or 60,000 to 100,000 miles (100,000 to 160,000 km), then every 3 to 5 years. Long-life coolants can go longer. Check your manual.
Coolant is poisonous and tastes sweet, so keep it away from children and pets, and clean up spills.
It’s best not to. Different types can react and form sludge. Use the type listed in your manual.
In an emergency, yes, but it dilutes the coolant. Have the mix checked and corrected soon.
General guidance, not professional advice. Intervals are typical ranges and vary by car, so check your owner’s manual and ask a qualified mechanic if you’re unsure.