IV Therapy Indications, Complications
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| show | fluid volume maintenance, fluid volume replacement, med administration, blood administration, TPN, emergency line,
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| Advantages of IV Therapy | show 🗑
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| IV and Dressing changes | show 🗑
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| Nursing responsibilities for IV sites | show 🗑
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| Complications of IV therapy | show 🗑
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| Infliltration | show 🗑
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| show | swelling, pain, cool to touch, decreased flow, wet dressing, no back flow.
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| Causes of Infiltration and Extravasion | show 🗑
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| show | Remove IV, cool compress
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| Occlusion causes | show 🗑
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| show | IV stops dripping
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| show | milk IV, aspirate, irrigate (if no resistance OK, if resistance may be clot>
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| show | don't let IV run dry, flush periodically with 1-5 cc of NSS and before and after any intermittent IV therapy.
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| show | bacterial, chemical, mechanical
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| Phelebitis Intervention | show 🗑
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| Phlebitis Assessment | show 🗑
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| show | IV left in too long, irritating fluids, clot at tip of cannula, cath too large for vein
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| show | clear fluids, dextrose or saline, can be Iso, Hypo or Hyper tonic
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| Colloids | show 🗑
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| Isotonic IV | show 🗑
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| Reasons to give an Isotonic IV | show 🗑
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| Complications of Isotonic IV | show 🗑
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| Examples of Isotonic Solutions | show 🗑
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| show | Will cause fluid to shift from intravascular to intracellular space.
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| show | dehydration
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| show | .45% sodium chloride, 5%dextrose water (becomes hypotonic in body)
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| Complications of hypotonic solution | show 🗑
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| show | low bp, slight edema but not w/CHF, pulls fluid from intracellular space to intravascular space
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| show | Not as strong as Albumin, 10% Dextrose in Water D10W, 5% normal saline, D5 Ringers Lactate
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| show | more fluid in bloodstream can cause circulatory overload.
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| show | Patient Controlled Analgesia
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| 3 settings of PCA | show 🗑
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| Central Venous Therapy Indications | show 🗑
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| show | altered skin integrity, anomalies of central vasculature, cancer in area, coagulopathies, fractured clavicle, septicemia, radiation to insertion site
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| show | subclavian, jugular, femoral vein, cephalic vein(is peripheral but the line runs to central area)
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| show | Air embolism, pneumothorax, sepsis,chest pain, confusion, hypotension, dyspnea, pallor, tachycardia, tachypnea, unresponsiveness
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| Components of Intravenous Nutritional Support | show 🗑
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| Lipids in Intravenous Nutritional Support | show 🗑
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| show | not refrigerated, observe for spoilage (fat on top, discoloration), expiration dateNo filter. , must be infused on IV pump, glucose monitored, gradual weaning. Daily weights,
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| show | hypoglycemia, hyperglycemia, dehydration, infection
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| Reasons to give IV Nutritional Support | show 🗑
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