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Intravenous Therapy & Medications
Transcript of Intravenous Therapy & Medications
Controlled blood levels
Client unable to ingest
No muscle mass
Fluid & electrolyte imbalances
Discomfort at IV site
Drug and Solution Incompatibility
Types of fluids
Types of Isotonic Fluids and Uses
Normal Saline (0.9% sodium)
General fluid replacement
Types of Hypotonic Fluids and Uses
Half Normal Saline (0.45% sodium)
Sodium and chloride depletion
Gastric fluid loss
Types of Hypertonic Solutions and Uses
Dextrose 5% in half-normal saline (D51/2)
Used in patients with DKA after initial treatment
Dextrose 5% in normal saline solution (D5NS)
3% sodium chloride solution
Dextrose 10% in normal saline solution (D10NS)
Conditions in which some nutrition with glucose is required
Lactated Ringer's solution
most physiologically adaptable
third space fluid shifts
Patient's requiring electrolyte replacement
Selecting a peripheral IV site
Risk of thrombophlebitis
The higher the gauge the smaller the needle
18 gauge (big)
24 gauge (small)
Signs & Symptoms:
Lack of blood return
Stop the infusion
Remove IV catheter
Apply warm compresses
Document findings & action
Use smallest possible catheter
Monitor IV site frequently (usually q 1 hr)
Anchor the IV
Have patient report pain or swelling
Red, streaking line
Sluggish or absent flow
Monitor S&S infection
Apply Warm compress (controversial)
Proper insertion techniques
IV's to upper extremities
Avoid joints or areas of flexion
Leakage of fluid into tissues
Burning at site
Lack of blood return
Stop the infusion and remove IV
Administer antidote if possible
Apply ice first
Warm soaks later
Assess circulation and nerve function
Date, time, signiture
Type, length, and guage of catheter
Site of insertion and appearance
Number of atempts
Type of dressing, and type/amount of fluid
Patient's tolerance and response to therapy.
Patient teaching and understanding.
5% dextrose (D5W) starts as hypotonic due to the dextrose then as sugar metabolizes it leaves water and is isotonic
Check fluid for expiration date
Change after 24 hours
Check for discoloration or sediments
Scrub the Skin site for 30 seconds
Scrub the tubing or injection hub for 15 seconds
IV Medication References
Find a reference your comfortable using and stick with it!
NICU & pediatrics, small doses with controlled delivery time.
Prime the tubing......
Label the tubing.....
Fluid leaks into surrounding tissue
IV vesicant leaks into surrounding tissues causing tissue damage, even death of cell tissue
Develops from injury to vein wall, from insertion or during therapy causing a thrombus to form
Inflammation of the vein
Remove tape & dressing
Use cotton ball or 4x4 to hold pressure on insertion site
Check to make sure catheter is intake
Assess site for bleeding, bruising, swelling ect.