Week 2: IV Therapy Medication

Peripheral Intravenous Catheter

PIC~ uses 3

1. fluid maintance

2. hydration

3. medication

PIC ~ benefits

1. direct infusion to circulatory system

2. short term access

3. simple proceudres

Vascular Device Management

assess frequency and site 4

1. q 12 hr

2. location

3. clean dry intact no leaking

4. secure dressing

types

1. saline lock or continous

2. peripheral or subcut

3. gravity or pump

tubing needs to be2

1. free lazy loops

2. labeled date

solution and rate

1. is the correct solution hanging

2. corect rate is dripping

at start and end of shift 2

1. amount already infused

2. amount to be absorbed

changing a short PIC dressing 4

1. remove old dressing

2. clean

3. apply transparent dressing

4. label with date

Adverse Effects

1. stop of decrese meds

2. notify HCP

if med does not infuse over desired period

determine reasonins (improper calculation, wrong position)

swelling, warmth, reddening and tenderness

phlebitis

stop IV

coolness, pallor and swelling

infiltration

provide iv extrenous care

Phlebitis

infiltration of the vein

Phle~ causes

chemical or mechanical

Phle ~ symptoms

swelling, discomfort, redness, tnederness, pain, erythema , warmth

Score of 1

IV is healthy

score of 2

one present: slight pin, or redness

score 3

two are present: pain, erythema, swelling

score 4:

all are present: pain, iduration

score 5

all are present and extensive: pain, erythema, induration, palpable venous cord

score 6

all are present and extnsive: pain, erythema, induration, palpble venous cord, pryrexia

Phle: interventions

1. new IV on other arm

2. cannot reuse vein

3. warm moist compress

Infiltration

occurs when IV fluids leak into surrounding tissue

Infl ~ signs and symptoms

1. swelling, discomfort, burning

2. cool skin

3. decreased or stopped flow rate

4. leaking clear fluid from IV site

Grade 0

no symptoms

grade 1

1. skin blanched

2. edema

3. cool to touch

4. with or without pain

grade 2

1. skin blanched

2. edema

3. cool to touch

4. with or without pain

grade 3

1. skin blanched

2. cross edema

3. cool to touch

4. mild-moderate pain

5. numbess

grade 4

1. skin blanched

2. skin tight, leaking

3. skin discoloured, bruised

4. cross edema

5. deep pitting edema

6. ciruclatory impairment

7. moderate to severe pain

Infl ~ interventions

1. stop IV

2. discontinue

3. set up new system and restart

4. apply warm compress

5. evelate arm

6. notify HCP

7. document

Extravasation

leaking of meds/tpn into surrounding tissue

Extra ~ signs and symptoms

1. blanching

2. cool skin

3. swelling

4. blistering

Extra ~ interventions 7

1. stop infusion

2. estimate amount of exravasated soltuion

3. set up new system

4. follow reccomendats

5. elevae arm

6. admin antidote

7. document

Localized Infections ~ s/s

1. redness and discharge

2. elevate temp

3. painful

4. drainage

5. hyper/hypo thermia

Infection ~ interventions 7

1. stop infusion

2. notify HCP

3. set up new system

4. culture site

5. monitor temp and vs

6. admin meds

7. document

Infection~ preventions 3

1. hand hygeien, gloves

2. clean with approved antiseptic

3. clean injection ports

PEDS sub cut dose and IM

no more than 0.5 ml sub

IM: no more than 1ml

peds ~ total daily dose

multiply childs weight by kg and by dosage

divided dose

each time to be adminsitered