Skip to main content

Procedure of IV selection!

 IV DRUG THERAPY- SELECTION OF EQUIPMENTS AND INSERTION OF CATHETER

Equipment:

  1. Canula selection:

Select cannula based on purpose and duration of use and age of patient.

Consider risk of infection and extravasation.

Cannula made from polyurethanes are associated with decreased risk of phlebitis.

Steel needles have higher risk of extravasation and should be avoided where tissue necrosis is likely if extravasation occurs.

      2. Skin Prep:

Antiseptic solution, use an aqueous based alternative if there is a known allergy to alcohol.

      3. Other Equipment:

Intravenous solution as ordered, torniquet, giving set, IV stand/pole, infusion pump, transparent occlusive dressing, tape or similar to secure cannula, gloves, paper bag.

      4. Additional Equipment which may be required:

Syring (5mL), sterile sodium chloride 0.9%, local anesthetics (in children), 3-way tap or triflow, short extension tube.



Selection Of the Catheter Site:

  1. Generally speaking, the vein section with the straightest appearance should be selected.
  2. A vein that has a firm, round appearance or feel when palpated should be chosen and areas where the vein crosses over joints should be avoided.
  3. In adults, use long straight veins in an upper extremity away from the joints for catheter insertion-in preference to sites on the lower extremities.
  4. If possible, avoid veins in the dominant hand and use distal veins first.
  5. Do not insert cannula on the site of mastectomy or AV shunts.
  6. In pediatric, it is recommended that the cannula be inserted into scalp, hand, or foot site in preference to a leg, arm, or ante cubital fossa site.


Procedure:

1. Explain procedure to patient/parent.

2. Wash hands with antiseptic soap, put on gloves,

3. Apply the torniquet above insertion,

4. Disinfect the selected site with skin prep and allow to dry, do not touch the skin with the fingers after preparation solution has been applied.

5. Inspect the cannula before insertion to ensure that the needle is fully inserted into the plastic cannula and that the cannula tip is not damaged,

6. Ensure the level of the cannula is facing upwards.



Labels:

Comments

Post a Comment

Popular posts from this blog

Diabetes Mellitus: Non-Pharmacological Therapy--MNT!

 NON PHARMACOLOGICAL THERAPY  MNT Glycemic Index Dietary supplements Weight measurements Physical Activity Psychological assessment Immunizations 1. MEDICAL NUTRITION THERAPY (MNT)  " Medical Nutrition Therapy (MNT) is a term used by the ADA to describe the optimal condition of caloric intake with other aspects of diabetes therapy (Insulin, Exercise, Weight loss)". The ADA has issued recommendations for three types of MNT: Primary prevention measures of MNT are directed at preventing or delaying the onset of type 2 Diabetes in high-risk individuals (obese or with pre-diabetes) by promoting weight reduction. Secondary prevention measures of MNT are directed at preventing or delaying-related complications in diabetic individuals by improving glycemic control. Tertiary prevention measures of MNT are directed at managing diabetes-related complications (cardiovascular disease, neuropathy) in diabetic individuals. Despite the popular notion, there is not any " Diabetic diet...
Post a Comment
Read more

PNEUMONIA- Its Etiology, Pathophysiology, Classification and Severity Assessment Method!

 PNEUMONIA Definition: "Pneumonia is an infection of pulmonary parenchyma". (Harrison)                                                    OR "Pneumonia is defined as an acute respiratory illness associated with recently developed radiological pulmonary shadowing which may be segmental, lobar or multilobar". (Davidson) Etiology: Microorganisms gain excess to the lower respiratory tract in several ways: Aspiration from the oropharynx (most common). Inhalation of contaminated droplets. Hematogenous spread. Contiguous extension. Pathophysiology of Pneumonia: Pneumonia results from proliferation of microbial pathogens at the alveolar level and the hosts response to these microorganisms.  Defensive Mechanisms against Pneumonia: The defensive mechanism against pneumonia involve: Branching architecture of tracheobronchial tree. Muco-ciliary clearance. Local...
Post a Comment
Read more

Anatomy and the Complications Associated with Liver Diseases!

  LIVER AND THE COMPLICATIONS ASSOCIATED WITH THE PROGRESSION OF DISEASE! Liver: The liver weighs up to 1.5kg in adults and is the 2nd largest organ in the body. Hepatocytes are the functioning unit of liver. Impairment of liver may lead to: Acute liver diseases Chronic liver diseases Liver cirrhosis Acute Liver Disease (ALD): ALD is a self-limiting episode of hepatocyte damage which in most cases spontaneously without clinical sequelae, but acute liver failure (ALF) may develop. This is a rare condition in which there is a rapid deterioration in liver function with associated encephalopathy and coagulopathy. ALF carries significant morbidity and mortality and may require emergency liver transplant. Chronic Liver Disease (CLD): CLD occurs when the longstanding cell damage causes permanent structural changes within the liver, with the loss of normal liver structure and functions. In many cases, this may lead to cirrhosis where fibrosis sears divide the liver cells into areas of rege...
Post a Comment
Read more