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Hydrating Solutions
• primary use is to provide
• contain water and either carbohydrate or sodium
solution
Ex.
a. NS .9%
b. 1/2 NS .45%NaCl
c. 1/4 NS .22%
d. Dextrose in water (D5W) 5% Dextrose
e. Dextrose in saline' D5NS, D51/2, D51/4
Maintenance Solutions
• isotonic, usually contain water, a carbohydrate for basic
caloric needs, and basic electrolytes
Ex:
a. LR
Na, K, Ca, Cl, and lactate in roughly same concentration
as plasma
b. D5LR
Replacement Solutions
• used to replace concurrent losses of water and
electrolytes in normal amounts
Ex:
a. IV fluid and electrolytes
b. TPN
c. blood
Monitoring IV Fluid Therapy
Assessment
• monitor labs and keep doctor informed
• correct solution and additives
• correct equipment
• correct infusion rate
• start IV
• maintain system
• identify problems
• monitor hourly IV line and patient
• DC IV
Complications of IV therapy
site
1. Phlebitis – inflammation
2. pain, warmth, redness traveling along vein
3. Infiltration – no longer in vein
4. Swelling, pallor, cool
5. Elevate extremity, apply warmth
6. Infection
7. Pain, erythema (redness), purulent drainage
8. Bleeding
Infection Control of IV Therapy
IV bags
change every 24 hours, 4hours for blood
Tubing
change every 48 hours
Dressing changes
per hospital policy
Site
peripheral, central venous, PICC (peripherally
inserted central catheter)
Blood and Blood Products
Products
• whole blood
• packed blood
• platelets
• human serum albumin
• plasma
• plasma protein fraction
• clotting factors
Potential complications
•pyogenic reaction
•first reaction, fever, chills
•hemolytic reaction
•STOP IMMEDIATELY
•ABO incompatibility
•severe flank – back pain
•chest pain
•blood in urine
•increased HR and BP
•fullness in head within minutes
•allergic - rare
•itching
•hives
•STOP INFUSION
•potassium excess
•circulatory overload (particularly with frail
elderly and people with cardiac and lung
problems)
•serum hepatitis/HIV
IVF COLOR CODING
COLOR IVF SOLUTION
PINK D5 IN LACTATED RINGER’S
RED D5 WATER
ORANGE D5 NM
YELLOW D5 NSS
YELLOW GREEN D5 NR
VIOLET D5 IMB
IV CANNULA
Size COLOR CATHETER CATHETER Water Flow
(gauge) I.D O.D. LENGTH Rate
mm mm (mm) (ml./min.)
1-IV catheter
1-.9% NS flush
1-Saline lock or 1 bag of LR, .9% NS, or D5W/D25W
1-alcohol prep
1-2x2 bandage
1-sharps container
tape to secure the IV to the skin
step 3. Clean the site and prepare the vein
palpate the vein looking for any valves or pulsations (which
would indicated that it is an artery). Run your finger along
the length of the vein to determine how it runs, its length,
etc. Open the alcohol prep and clean the area very well.