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IV Complications
This is a short version of a list of hospital policies pertinent to IV therapy
Question | Answer |
---|---|
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 |