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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)
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 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?