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IV COMPLICATIONS BY: SADE LOVELLO

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Sade Lovello

on 22 February 2016

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Transcript of IV COMPLICATIONS BY: SADE LOVELLO

What is IV therapy? What are iv therapy complications?
IV Therapy
: The infusion of liquid substances directly into a vein.


IV Therapy Complication
: A complication of an IV catheter or cannula within the vein or site of IV administration
Complications:
•Infiltration
•Sepsis/Septicemia
•Thrombus
•Phlebitis
•Extravasation
Infiltration
The leaking of IV fluid into the tissue surrounding the vein
Thrombus
Sepsis/Septicemia
Infection from a pathogen transported into the blood

IV COMPLICATIONS
BY: SADE LOVELLO

Signs and Symptoms:


•Tight skin with swelling tissue
•Usually seen close to the insertion site
•Patient is the one to first detect a problem has occurred
•If there is no blood return to the device, the IV has been displaced
•Skin feels
COOL TO TOUCH

Nursing management

DISCONTINUE
IV use immediately
•Remove the needle or catheter that is being used
•Change IV site when reinserting
•Elevate the affected arm
•Observe IV site Q1H
•Document ALL observations and actions used

Signs and Symptoms:

•Chills and fever
•Increasing heart & respiratory rate
•Dropping blood pressure
•WBC is elevated

SHOCK

•Anxiety
•Restlessness
•Lethargy
•Patients claims they "don’t feel right"

Nurse Management:

•Report to physician immediately
•Obtain a blood culture for infection
•Monitor and record patient VS frequently
•Carefully watch patient for life-threatening situations
•Monitor IV site Q1hr/regular basis

Signs and Symptoms:

A blood clot that obstructs a blood vessel

•Slowing infusion rate creates increase clotting time
•Swelling
•Discomfort
•Can be felt as a firm, thread like formation along the vein
•Redness and warmth of tissue

Nurse Management:


DISCONTINUE
IV use immediately
•Apply sterile dressing to the infusion site
•Start new IV at a new site; other limb, if possible
•Notify physician immediately
•Apply warm compress to site

DO NOT MASSAGE SITE
•Document all actions taken
•Physician may order thrombolytic

Phlebitis
An inflammation of the vein

Signs and Symptoms
•Pain
•Swelling

WARM TO TOUCH
•Red streaks may radiate from the site and vein may feel like a cord
•Pain and tenderness are noted along the vein in the affected area
•Redness in tissue

Nurse Management:


DISCONTINUE
use of IV immediatly
•Restart IV at new site
•Apply warm compress to the affected area
•Document observation and actions the where used
•Asses site on regular basis

Extravasation
It occurs when fluids seep out from the vessel into the surrounding tissues
Signs and Symptoms
•Swelling
•Discomfort
•Burning
•Tightness
•Coolness in the adjacent skin
•Slow flow rate
Nursing Interventions
•Immediately stop the infusion and remove the device
•Elevate the affected limb
•Apply cold compress to decrease edema and pain
•Apply moist heat to facilitate the absorption of fluid at grossly infiltrated site
Works Sited:

http://what-when-how.com/paramedic-care/intravenous-access-clinical-essentials-paramedic-care-part-5/

http://www.webmd.com/a-to-z-guides/phlebitis?print=true

http://www.ipcphysicaltherapy.com/PhlebitisandThrombophlebitis.aspx

https://ipiccyou.wordpress.com/author/ipiccyou/page/2/


BYE BYE
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