Handout - IV Therapy Handout - (4) 2015.doc - IV Therapy Handout NURS 210 2018 \u2013 2019 1 \u201cIntravenous(IV therapy refers to those nursing

Handout - IV Therapy Handout - (4) 2015.doc - IV Therapy...

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IV Therapy Handout NURS 210 2018 – 2019 1. “Intravenous (IV) therapy refers to those nursing interventions relative to the initiation, maintenance, and discontinuance of intravenous medications and fluids administered by a peripheral or central line.” (LSBN). 2. Purposes of IV therapy: a. Restore or maintain fluid and electrolytes b. Administer medications c. Provide nutrition d. Facilitate blood transfusion e. Life line for emergencies (IV ore HL) 3. Nurse’s responsibilities: a. Initiate i. Correct solution ii. Equipment iii. Select site and start infusion iv. Calculate and regulation of rate b. Monitor i. Maintain the system ii. Identify and correct problems iii. Monitor patient response iv. Watch for complications c. Discontinue 4. Read Lewis (2017) page 294, Teamwork & Collaboration: IV Therapy 5. Sterile technique!!! a. Straight into the bloodstream i. Maintain a closed system ii. Wash hands iii. Use aseptic technique when preparing IV equipment iv. Wear gloves… 1. to change IV dressing and primary tubing 2. start or remove IV 6. Equipment: a. IV solutions b. Tubing c. Extension tubing (if needed) d. IV pole (adjustable) e. Infusion control device f. Heparin/saline lock adapter g. IV catheter h. IV start kit or appropriate cleanser for site 7. Types of IV fluids a. Crystalloids i. Dextrose in water, saline solutions, dextrose in saline solutions ii. Electrolyte solutions iii. Saline solutions b. Colloids c. Total parenteral nutrition
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d. Blood and blood products 8. Plasma Expanders a. Colloids b. Albumin i. 5% osmotically equal to plasma ii. 25% draws about 4 times their volume in interstitial fluid into the circulation within 15” of administration c. Plasma protein fraction d. Dextran e. Hetastarch f. Whole blood or PRBCs 9. Required reading: a. Morris, D.G. (2014). Calculate with confidence (6 th edition), pp. 498 – 58. Mosby –Elsevier: St. Louis, MO. b. Potter and Perry (2013). Fundamentals of nursing (8 th Ed.), pp. 608 – 611; 631 – 639; 904 – 938 (IV content). c. Lewis, Dirksen, Heitkemper, Bucher, & Camera (2017). Medical-surgical nursing: Assessment and management of clinical problems (10 th edition), pp. 292 - 297. 10. Required viewing of online videos prior to meeting in Skills Lab: Essential Clinical Skills – Evolve-Elsevier (1 st Ed.) a. Administering IV medications by mini-infusion pump b. Administering IV medications by piggyback c. Administering medication by intravenous bolus d. Changing intravenous dressings e. Changing intravenous tubing and fluids f. Discontinuing intravenous therapy g. Dressing the infusion site h. Performing venipuncture i. Preparing an infusion site j. Regulating an intravenous infusion k. Troubleshooting intravenous infusions l. Using an infusion pump 11. IV Catheters---Size a. 20 – 22 gauge i. Used in most situations for adults b. 22 – 24 gauge i. For children, older adults, fragile veins c. 20 – 18 gauge i. Blood, blood products, or large volumes of IV fluids ii. However INS Standards (2016) --- 20 – 24 and --- when rapid transfusion is required 14 – 18 (Standard 62 – Practice Criteria D) 12. IV catheters ---- Dwell time a. Peripheral i. Up to 96 hours unless complications ii.
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