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IV Complications

This is a short version of a list of hospital policies pertinent to IV therapy

QuestionAnswer
To reduce risk of infection, how often should continuous IV infusion tubing be changed? Every 72 hours, or more frequently depending on medications such as propofol, TPN, Lipids, or a change in dosage of a medication
What is Phlebitis? Inflammation of the vein’s inner lining, the tunica intima
How can Phlebitis be prevented? Proper aseptic insertion technique, slower infusion rates, site change, anti-inflammatory administration, stabilize the catheter, ice, elevate and assess.
Define Infiltration A condition that occurs when a nonvesicant solution is inadvertently administered into surrounding tissue
How can you tell if an IV is infiltrated? Patient has pain, swelling, redness, the skin surrounding the insertion site is cool to touch, there is a change in the quality or flow of IV, the skin is tight around the site, IV fluid is leaking, or frequent alarms on the IV pump.
What should you do if nerve injury is suspected? Immediately remove the catheter and notify the provider
What should be done if site infection is suspected? Remove the cannula and clean the site using sterile technique. If infection is suspected, remove the catheter and obtain a culture of the purulent drainage and catheter tip. Monitor for signs of systemic infection.
What is extravasation? A condition that occurs when vesicant is administered and inadvertently leaks into surrounding tissue and causes damage
Created by: mattmrcs11
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