Ross Memorial Hospital IV Therapy 1 INTRAVENOUS...

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Ross Memorial Hospital IV Therapy 1 INTRAVENOUS THERAPY (Initiating Intravenous Therapy) SELF STUDY PROGRAM /var/filecabinet/temp/converter_assets/da/42/da42705b40c73e66ab5bb74dedd8b38047ffd2d9.doc
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Ross Memorial Hospital IV Therapy 2 Instructions for Instructions for Intravenous Therapy Intravenous Therapy Program Program 1. Read the IV Therapy Self Study Package, and answer the review questions. 2. Review Ross Memorial Hospital (RMH) Nursing Procedure: IV Therapy Guidelines in Paradigm. 3. For further information, review in Perry & Potter, Clinical Nursing Skills and Techniques, the chapters pertaining to parenteral fluid therapy. 4. Complete Checklist for Intravenous Therapy Certification: a. Nurses, who have never started IV’s before are to successfully initiate three venipunctures under the supervision of another RN. b. A nurse, new to RMH, who has started IV’s in other organizations, must have a peer observe him or her successfully initiate one IV on his or her unit. This is to assist the nurse to become familiar with the equipment at RMH. INITIATING INTRAVENOUS THERAPY OBJECTIVES Upon completion of this self-study package the Nurse will be able to: 1. Demonstrate knowledge of the techniques of venipuncture. 2. Explain hospital policies and procedures related to venipuncture. 3. Demonstrate awareness of complications and patient safety related to venipuncture therapy. /var/filecabinet/temp/converter_assets/da/42/da42705b40c73e66ab5bb74dedd8b38047ffd2d9.doc
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Ross Memorial Hospital IV Therapy 3 REASONS FOR I.V. THERAPY IV fluid administration may be implemented for patients with/or requiring: 1. Dehydration vomiting diarrhea high temperature diaphoresis fluid replacement 2. Administration of continuous or intermittent medications 3. Maintenance or correction of nutritional status 4. Administration of electrolytes maintenance of replacement of 5. Necessity to rest the G.I. Tract post surgery colitis inflammation 6. Blood transfusion haemorrhage anemia 7. Rapid absorption of drugs shock anesthetics diagnostic dye cardiac arrest 8. To keep a vein open for emergency situations /var/filecabinet/temp/converter_assets/da/42/da42705b40c73e66ab5bb74dedd8b38047ffd2d9.doc
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Ross Memorial Hospital IV Therapy 4 ANATOMY Both arteries and veins are composed of three layers of tissue. The tunica intima or inner layer consists of an inner elastic endothelial lining. This lining is identical in both veins and arteries, although in veins the endothelial lining forms valves. Arteries do not have valves. Cells of the inner lining are smooth and flat to allow free flow of blood and platelets. It is important to avoid traumatizing this surface, since rough areas encourage thrombus formation. The middle layer, or tunica media, is muscular and elastic. It contains nerve fibres, which constrict and dilate. In arteries, this layer is strong, and prevents them from collapsing. The middle layer of a vein is weaker, and thus it will collapse.
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  • Spring '16
  • Tyerman Celestini
  • Intravenous therapy

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