WORKSHOP

RISK OF IV THERAPY
 Background

SIGN-SYMPTOMS
OF VAD RELATED INSERTION
COMPLICATION COMPETENCE

MANAGEMENT OF PREVENTION
RISK FACTOR COMPLIICATION
FOR INFECTION IN IV THERAPHY
PATIENT MANAGEMENT
SAFETY IN
IV THERAPY
INS, 2016; INS,2011, Lynn,manual of iv therapeutic,2014

 To ensure patient safety, the clinician is competent to recognize signs and symptoms of vascular access device (VAD)-related complications during insertion, management, and removal, and appropriately
intervene. Good venipuncture technique is one important factor related to the prevention of many local complications associated with vascular access device (VAD) placement

 Risk factors for infection and catheter-associated bloodstream infection include: Inadequate skin antisepsis prior to VAD insertion, Multiple manipulations of infusion delivery system, Patient age, condition,
acuity, Presence of secondary infection, Education and skill level of clinician, Inadequate VAD insertion technique, Inadequate care and maintenance practices

 Prevention, assessment, and management of complications are established in organizational policies, procedures, and/or practice guidelines.
Sources of I.V-related infections

Lynn,manual of iv therapeutic,2014
 •hematoma
COMPLICATION IN •Phlebitis
•thrombophlebitis
IV THERAPY
Local •Infiltration
•Extravasation
Complications are often classified
•Local infection
according to their location. •Nerve injury
•Venous spam

•Bloodstream
infection (BSI)

 A local complication is usually seen at or near the Systemic •Air embolism

•Circulatory
overload
insertion site or occurs as a result of mechanical failure.
 Systemic complications are those occurring within the
vascular system. Systemic complications are very serious
and can be life threatening.
Lynn,manual of iv therapeutic,2014
Risk of Intravenous Therapy

5
CASE 1

 Nn.S, 25th, datang ke RS untuk melakukan cek darah. Setelah pengambilan sample
darah , pasien mengeluhkan nyeri pada lengan kiri bekas tusukan. Tampak merah
keunguan di daerah insersi . Apa jenis komplikasi IV therapy tersebut? jelaskan definisi
dan penyebabnya serta sebutkan tanda dan gejalanya. Bagaimana manajemen
perawatan yang dilakukan? Serta bagaimana pencegahannya?
Case 2

 Tn A, 45 tahun, telah 6 hari dirawat di RS. Pasien mengeluh nyeri di tangan kiri yang
terpasang infus. Tampak merah di sekitar area insersi dan sepanjang vena. Apa jenis
komplikasi IV therapy tersebut? jelaskan definisi dan penyebabnya serta sebutkan
tanda dan gejalanya. Bagaimana manajemen perawatan yang dilakukan? Serta
bagaimana pencegahannya?
Case 3

 Tn D, 40 tahun, telah dirawat di RS selama 5 hari, awalnya pasien hanya merasa

dingin di tangan kiri yang terpasang infus, semakin lama pasien merasa nyeri dan
susah untuk menggenggam karena bengkak, pasien juga mengatakan tangan nya
terkadang seperti mati rasa. Tampak kulit pucat dan bengkak. Apa jenis komplikasi IV
therapy tersebut? jelaskan definisi dan penyebabnya serta sebutkan tanda dan
gejalanya. Bagaimana manajemen perawatan yang dilakukan? Serta bagaimana
pencegahannya?
 Case 4

 Tn H, 30 tahun, 48 jam post kemoterapi, pasien merasa nyeri dan seperti terbakar di bekas
area infus. Pada tangan kiri tampak luka berlubang, terdapat nekrosis, dan kemerahan
disekitarnya. Apa jenis komplikasi IV therapy tersebut? jelaskan definisi dan penyebabnya
serta sebutkan tanda dan gejalanya. Bagaimana manajemen perawatan yang dilakukan?
Serta bagaimana pencegahannya?