I.V. therapy by Springhouse

By Springhouse

This quick-reference guide meets Infusion Nurses Society criteria and gives the fundamental I.V. treatment proof that nurses want for scientific paintings. info is gifted in an easy-to-scan bulleted layout, with visually compelling illustrations of suggestions and crowd pleasing symbols that spotlight caution alerts.

Separate chapters specialize in peripheral and crucial venous I.V. treatment, together with insurance on cutting-edge vascular entry units, PICC traces, and a quick-scan consultant to CV catheters. shut realization is given to the prevention and administration of particular issues of peripheral and crucial venous treatment. different chapters hide I.V. drugs management, transfusions, chemotherapy infusions, and parenteral nutrition.

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Therapy Catheter dislodgement Signs and symptoms ◆ Catheter backed out of the vein ◆ Infusate infiltrating into tissue Possible causes ◆ Loosened tape or tubing snagged in bedclothes, resulting in partial retraction of the catheter ◆ Dislodged by a confused patient attempting to remove it Nursing interventions ◆ Remove the catheter. Prevention measures ◆ Tape the device securely on insertion. V. therapy Circulatory overload Signs and symptoms ◆ ◆ ◆ ◆ ◆ ◆ Crackles Discomfort Increased blood pressure Large positive fluid balance (intake is greater than output) Neck vein engorgement Respiratory distress Possible causes ◆ Flow rate too rapid ◆ Miscalculation of fluid requirements ◆ Roller clamp loosened to allow run-on infusion Nursing interventions ◆ ◆ ◆ ◆ Raise the head of the bed.

Instruct the patient that skin numbness will last about 30 minutes. Insert the venipuncture device into the vein. V. therapy Stabilizing veins Antecubital fossa ◆ Have the patient form a tight fist and fully extend his arm. 5 cm) below the antecubital fossa. Basilic vein at outer arm ◆ Have the patient make a tight fist and flex his elbow. ◆ While standing behind the flexed arm, retract the skin away from the site, and anchor the vein with your thumb. ◆ As an alternative, rotate the patient’s extended lower arm in- ward, and approach the vein from behind the arm.

Place the third strip of tape perpendicular to the first two, as ◆ ◆ ◆ ◆ shown below. Put the tape directly on top of the wings. Make sure that the catheter is secure. Apply a dressing. Apply a label with the date and time of insertion, type and gauge of the catheter, and your initials. V. therapy 39 Applying a transparent semipermeable dressing ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ Make sure the insertion site is clean and dry. Remove the dressing from the package. Using aseptic technique, remove the protective seal.

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