IV Therapy Indications, Complications
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| show | fluid volume maintenance, fluid volume replacement, med administration, blood administration, TPN, emergency line,
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| Advantages of IV Therapy | show 🗑
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| show | PICC-every 6 weeks, IV inserted by paramedic w/in 24 hours, Peripheral site every 72 hours, Blood and TPN every 24 hours, CVC every 48-72 hours or 3xper week.
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| Nursing responsibilities for IV sites | show 🗑
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| show | Pain and irritation, infiltration and exravasion, occlusion, loss of patency, phlebitis, fluid overload
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| show | seepage of IV fluids into tissue when IV cath penetrates vein
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| Extravasion and Infiltration Assessment | show 🗑
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| show | catheter permeates vein, poor taping of site, over manipulation
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| show | Remove IV, cool compress
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| show | kinked tubing, patient lying on tubing, infusion too slow
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| show | IV stops dripping
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| show | milk IV, aspirate, irrigate (if no resistance OK, if resistance may be clot>
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| show | don't let IV run dry, flush periodically with 1-5 cc of NSS and before and after any intermittent IV therapy.
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| show | bacterial, chemical, mechanical
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| Phelebitis Intervention | show 🗑
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| show | erythemia, pain or burning, warmth, edema, cordlike vein.
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| Phlebitis possible causes: | show 🗑
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| Crystalloids | show 🗑
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| show | cloudy, yellowish, used to raise osmotic pressure, Dextran is clearish
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| show | same tonicity as body 0.9% NSS
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| show | Hypotension (increases BP), Hypovolemia
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| Complications of Isotonic IV | show 🗑
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| show | 0,9% NSS, D5W(isotonic in bottle, hypotonic in body), Lactated Ringers
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| show | Will cause fluid to shift from intravascular to intracellular space.
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| Indications for Hypotonic IV | show 🗑
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| show | .45% sodium chloride, 5%dextrose water (becomes hypotonic in body)
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| show | May cause edema
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| show | low bp, slight edema but not w/CHF, pulls fluid from intracellular space to intravascular space
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| show | Not as strong as Albumin, 10% Dextrose in Water D10W, 5% normal saline, D5 Ringers Lactate
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| Complications of Hypertonic IV | show 🗑
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| show | Patient Controlled Analgesia
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| show | drug dosage, lockout period, basal rate
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| Central Venous Therapy Indications | show 🗑
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| show | altered skin integrity, anomalies of central vasculature, cancer in area, coagulopathies, fractured clavicle, septicemia, radiation to insertion site
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| Common insertion pathways for Central Venous Therapy | show 🗑
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| show | Air embolism, pneumothorax, sepsis,chest pain, confusion, hypotension, dyspnea, pallor, tachycardia, tachypnea, unresponsiveness
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| show | amino acids, carbohydrates, electrolytes, minerals, vitamins, lipids, other (ie insulin)
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| show | lipids are administered via Piggy back. (white, thin liquid)
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| Cautions for IV nutritional support | show 🗑
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| show | hypoglycemia, hyperglycemia, dehydration, infection
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| show | bowel surgery, chronic weight loss, bowel rest, coma, excess nitrogen loss, hepatic or renal failure, malnutrition, low serum albumin, hypermetabolic states
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