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IV THERAPY 1

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by

Victoria De Los Santos

on 2 April 2015

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Transcript of IV THERAPY 1

62
ECG
bpm
Thank You!
Vesicant Medications

ANTIBIOTICS
-Amphotericin B
-Cefoxin sodium (Metfoxin)
-Erythromycin
-Nafcillin
-Tetracycline
-Vancomycin

-CHECK VOLUME TO INFUSE/RATE OF INFUSION ARE BOTH CORRECTLY SET
-REASSESS VENIPUNCTURE SITE FOR SWELLING OR LEAKAGE
-HAVE PROPER CONSENT SIGNED
-MAKE SURE PATIENT IS FEELING NO DISCOMFORTAT SITE BEFORE LEAVING ROOM
-CHECK PATIENT CHART/ALLERGIES
-PROVIDE PATIENT EDUCATION
-MAINTAIN ASEPSIS TECHNIQUE
-CHECK ALL MATERIALS FOR EXPIRATION/INTEGRITY
-GET DR'S ORDER
UNDERLYING PRINCIPLES
(PREVENTIONS)
S/S
COOLNESS OF SKIN AROUND SITE
TAUT BLANCHED SKIN
EDEMA ABOVE OR BELOW INSERTION SITE
BACK FLOW OF BLOOD ABSENT
SLOWED INFUSION RATE
C/O PAIN
BURNING OR STINGING AT INSERTION SITE
BLISTERS
UNDERLYING PRINCIPLES
-IMPROPER NEEDLE ASSESS/NEEDLE DISLODGEMENT RESULTING FROM JOINT MOVEMENT IN FLEXION AREA
-DEEPLY PLACE PORT
-CATHETER ATTACHED TO AN IMPLANTED PORT THAT SPERATES OR FRACTURES INTERNALLY
-CATHETER MIGRATION/SUBSEQUENT MALPOSITION INTO TISSUE
-LOSS OF CATHETER INTEGRITY (EX. HOLE CRACK IN CATHETER)
-SMALL FRAGILE VEINS OR POOR VEIN CONDITION
-LARGE CATHETERS CAUSING MECHNICAL FRICTION OF THE VEIN
-FAILURE TO ADEQUATELY STABILIZE CATHETER
-OVER MANIPULATION OF IV CATHETER
-MULTIPLE ATTEMPTS TO VENIPUNTURE OR PUNCTURE VEIN WALL DURING VENIPUNTURE
IV COMPLICATION EXTRAVASATION
IV THERAPY
ANTICONVULSANTS
-Phenytoin
-Valium
ANTIEMETICS
-Promethazine
CHEMOTHERAPY DRUGS
-Cisplatin
-Streptozocin
-Vincristine
ELECTROLYTES
-Calcium Chloride and Calcium Gluconate
-Potassium Chloride
RELATED CONTENT
-DO NOT USE DORSAL HAND FOR IV PLACE-MORE PRONE TO TENDON/NERVE DAMAGE
-ASSESS IV SITE EVERY 2 HOURS FOR ADULTS/EVERY HOUR FOR INFANTS, CHILDREN, OLDER ADULTS/ANYONE WHO MIGHT BE AT RISK FOR FLUID VOLUME OVERLOAD
-ALWAYS ASSESS IV SITE CONDITION PRIOR TO ADMINIRSTERING IV MEDS
-USE SMALLEST NEEDLE SIZE/SHORTEST LENGTH CATHETER TO ACCOMODATE INFUSION THERAPY
-ENSURE THAT THE CATHETER IS STABILIZED IN PLACE TO MINIMIZE CATHETER MOVEMENT WITHIN THE VEIN
(CAUSES)
NURSING INTERVENTIONS
NURSING STAFF/PHYSICIANS
STOP INFUSION/LEAVE CANNULA IN PLACE, ESTIMATE VOLUME OF EXTRAVASATED VESICANT FLUID/NOTIFY PHYSICIAN IMMEDIATELY
APPLY COOL OR WARM COMPRESSES AS INDICATED
ELEVATE EXTRMITY
USE ANIDOTE WHEN APPROPRIATE
COMPLICATIONS
ULCERATION/POSSIBLE TISSUE NECROSIS
COMPARTMENT SYNDROME IF VESSELS CANNOT CARRY AWAY THE EXCESSIVE FLUID, HYDROSTATIC PRESSURE INCRESE, LEADING TO VASCULAR SPASM, PAIN/MUSCLE NECROSIS
COMPLEX REGIONAL PAIN SYNDROME DRAMATIC CHANGES IN COLOR, TEMP. OF SKIN OVER AFFECTED LIMB OR BODY PART ACCOMPANIED BY INTENSE BURNING, SKIN SENSITIVITY, SWELLING, SWEATING.
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