Intravenous Therapy Flashcards
Indications of IV therapy
rapid infusion when a patient needs fluid quick or resiticed oral intact and they need TPN. swallowing difficulties or if the GI is impaired. Patient has had surgery and need blood transfusion
Complications of IV therapy
redness, swelling, burning or coldness, when the fluid is going into the interstitial space; causing hypovolemic cause pitting edema, weeping, fluid overload. If not changing tubing and IV infection can set in blood clots or thrombus
Maintenance for IV therapy
change solution every 24 hrs, change dressing every 7 days, flush the IV 2 times a shift (when you start shift and before end of shift), change tubing every 72-96 hours,
Method of gaining access to the venous system by piercing a vein
Venipuncture
For a Venipunction what does the nurse do?
places, monitors and manages
what do you use for an aseptic technique?
alcohol or iodine
Peripheral common sites for IV placement
-hands
-forearm inside the elbow (but we bend there so we don’t like to place there but if that’s all we can use then we do)
-foot
-ankle
-Antecubital fossa (AC)
-Forearm and back of the arm
Central Venous common site IV placement
-Superior vena cava
How long is an IV normally good for?
5 days
how often should you flush an IV?
twice a shift
Indications for an IV
-Rapid drug effect
-Restricted oral intake
-Unable to swallow or difficulty swallowing
-Impaired gastrointestinal absorption
-Desired continuous therapeutic blood levels
-Total parenteral nutrition (TPN)
-Blood transfusions
IV therapy Complications
-Infections
-Phlebitis
-Thrombus
-Air bolus -deadly
-Infiltration
-Circulatory overload
How often should you change the IV dressing?
every 72 hours or if bleeding and oozing through the dressing
vein is blown and fluid is going into intersatal spacing, change to a new one every time you take it off to flush
Infiltration
IV maintance
-Changing IV solutions every 24 hrs - even if there is still fluid in there
-Changing IV tubing every 72 to 96 hrs - its been label look at it every shit to see if it needs to be changed
-Antibacterial caps -the green or blue and are in the foil