IV Therapy

INTRAVENOUS THERAPYJana Heczková Kateřina Zámečníková http://utpo.lf1.cuni.cz https://is.cuni.cz/studium [email protected] Charles University in Prague, 1st Faculty of Medicine, Institute of Nursing Theory and Practice INTRAVENOUS THERAPY  Indication     Maintain fluid or electrolyte balance Administer fluid Administer blood or blood components Administer medication Maintain nutritional state Administer diagnostic reagents Monitor hemodynamic functions    . i.INTRAVENOUS ACCESS Venipuncture . lines Central i.v.v. Peripheral i. inj.v. lines Implantable ports . lines Implantable ports . Peripheral i.i. lines Central i.v. inj.v.INTRAVENOUS ACCESS Venipuncture .v. v. Peripheral IV lines Central IV lines Implantable ports .i. inj.INTRAVENOUS ACCESS Venipuncture . v. lines Central i.i. lines Implantable ports .v.INTRAVENOUS ACCESS Venipuncture .v. Peripheral i. inj. inj Peripheral i. lines Implantable ports .i.v.v.v. lines Central i.INTRAVENOUS ACCESS Venipuncture . v.INTRAVENOUS ACCESS Venipuncture . lines Implantable ports . lines Central i.v. inj Peripheral i.i.v. v.v. Peripheral i.v.INTRAVENOUS ACCESS Venipuncture . lines Central i.i. lines Implantable ports . inj. INTRAVENOUS THERAPY  i. bolus  infusion   intermittent continuous .v. INTRAVENOUS THERAPY  i.v. bolus  infusion   intermittent continuous . v. bolus  infusion   intermittent continuous .INTRAVENOUS THERAPY  i. INTRAVENOUS THERAPY Local complications     Systemic complications     Infiltration Extravasation Phlebitis Infection Sepsis Embolism Fluid overload Catheter-fragment embolism . .v.v. 11-2015 4.Practice Ampicilin  Administering i.v. 11-2015 1g Gain medication and equipments  Zinacef i.v.m. 11-2015 750 mg Check medication Count dose   Prepare medication Amoksiclav i. i.5 g . 11-2015 1.2 g   Check pt wristband Administer medication Tazocin i.v. infusion  i. Tazocin i.v.v.m. 11-2015 1. Amoksiclav i. 11-2015 750 mg Zinacef Inf.8 g 3g 1.25 g 600 mg 900 mg 1.v.5 g 2g 6g Ampicilin i. i.2 g 600 mg 1. 800 mg 1.6 g 250 mg 500 mg 1g 1.5 g 1.Practice Ampicilin Inf.v.2 g Amoksiclav Inf. 11-2015 4. 11-2015 1g Zinacef i.5 g Tazocin Inf. .. 2nd ed. 2004 WHO guidelines on hand hygiene 2009  . Lippincott Williams & Wilkins: London. Lister. 2004 Smeltzer. Taylor's Clinical Nursing Skills. P. 2006 Dougherty. C. The royal Marsden hospital manual of clinical nursing procedures. S.Resources    Lynn. S. Textbook of Medical-Surgical nursing. Blackwell Publishing Ltd: London.. 10th ed. B.. Lippincott Williams & Wilkins: London. 6th edition. Bare. A nursing process approach. L.