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It
is the insertion of a needle or cannula to a vein connected to a tubing and a fluid container
Hydration
Parenteral
Administration
Physicians
Dentists Nurses Midwives Pharmacists Other
Right
Right
Documentation Right health teaching Right patient drug history Right drug- drug interactions Right drug allergies
Patients
name type and amount of solution the flow rate the type, dose and frequency of medications to be incorporated/ pushed
clinical
status of the patient patients diagnosis patients age dominant arm (non) condition of vein/ skin cannula size type of solution
Luer Lock injection w/ J-loop IV fluid or medication on an infusion pump IV fluid Gravity Flow infusions using the macro/microdrip or Y type tubing
This device maintains patent venous access in patients receiving IV therapy regularly or intermittently
To transfuse accurate dosages To deliver very large or small amount of fluid accurately To minimize risk for fluid overload
Emergency
fluid resuscitation Short term medication infusion Blood and blood products Colloid administration
Protective
Spike Medication
cap
port Drip chamber Tubing Nozzle/ thumbwheel/roller clamp/ regulator Rubber medication port/ y-port Luer connector/ connector
G26
(violet)- neonates G24 (blue)- children/elderly/medical/post op surgical patients G22 (yellow)- children/medical/post op surgical patients G20 (pink)- adult/medical/ post op surgical patients G18 (green)- surgical patients/ BT G16 (gray)- trauma patients G14 (red)- trauma patients
Consider Patients: Medical history Age Body size Weight Conditions of vein and skin Type of fluid/medication Duration of therapy Skill at venipuncture
Flexed
areas Extensive scars Hematoma Infiltrarion of phlebitis site Fistula Skin disease Reminder: If the patients chosen IV site is hairy, dont shave the area, instead, clip/cut the hair. The IV site and IV tubing is good for 72 hours
3 Fluid Types:
REMINDER: A bottle (1000ml or 500ml) of IVF is good for 24 hours only. If not consumed, discard and hook a new IVF
Same
osmolarity as serum Remain inside intravascular For hypotensive/ Hypovolemia Risk for overload
Examples:
PNSS- Plain Normal Saline Solution or 0.9 % NaCl Solution (green) D5W (5% dextrose in water) (red) PLRS- Plain Lactated Ringers Solution (dark blue)
Less
osmolarity than serum Causes swelling of the cells For dehydration For hyperglycemia May cause increased ICP and cardiovascular collapse
Examples: Distilled water 0.18% NaCl 0.45% NaCl (half strength normal saline) 0.33% NaCl ( one third strength normal saline)
Higher osmolarity than serum Shrinking of cells For BP stabilization, increase urine output, reduce edema
Examples:
Blood products Albumin D5NSS (5% Dextrose in normal saline solution)\ D5 in 0.45% NaCl ( 5% Dextrose in half strength normal saline) D5LR (5% Dextrose in Lactated Ringer's Solution) D10W ( 10% Dextrose in water) D50W50 (50% Dextrose in 50 ml of water)
Local Complications: Hematoma Thrombosis Phlebitis Infiltration/ Extravasation Local infection Allergic reactions
Systemic Complications: Venous spasm Speed shock Septicemia Air embolism Circulatory overload Catheter embolism
Fluctuating
Runaway
flow rate
IV Sluggish IV Tubing/ loose Connection/ disconnection Blood back flow in tubing IV line obstruction/ kinking of IV tubing Clogged filter Break in antiseptic technique leaks due to inappropriate device
1.
Position
the hand Check the site of insertion for any complications Expel air bubbles Check for any kinks Check for clogging Re-plaster Pinch tubing Check for back flow
Amount of IVF -adult 1000 ml -pedia 500 ml -or it depends upon the doctors order or available stock Drop factor - adult/macropdrop = 15 gtts/ml - pedia/microdrop = 60 gtts/ml