IVT

T

IV Therapy can be performed by a licensed nurse

F

The nurse can delegate IV therapy to a nursing assistive personnel

T

Consent is needed before performing IV Therapy

T

IV Therapy can be performed in patients with CHF

False

G24 IV Cannula can be used in adult patients about the undergo surgery

IVT

● Introduction of catheter to the vein of the patient

● Two types: Central and Peripheral

● To maintain or prevent fluid and electrolyte imbalance ● To correct fluid and electrolyte imbalance ○ Low K and Na = fluid deficit ● To prevent fluid and electrolyte imbalance ● To maintain fluid and electrolyte balance ● To administer IV Medications ● To administer blood and blood products ● To administer nutritional support/supplement

Purpose of IVT

● Patient who will undergo surgery ● Patient who needs nutritional support

Indications of IVT

2-3 days

IV cannulas Must be change

14G

Orange

16G

Grey

18 G

Green

20G

Pink

22G

Blue

24G

Yellow

Isotonic solutions

solutions have equal solute concentrations, causing no net water movement.

Hypotonic solutions

solutions have a lower solute concentration, causing water to move in and cells to swell

Hypertonic

solutions have a higher solute concentration, causing water to move out and cells to shrink.

D5 water, .9% NS, LR

Isotonic Solution

-check the doctor's order

-Communicate with the patient first before spiking

-Prepare the materials

-spiking

-remove air bubble

-go to patient

-apply tourniquet

-insert the needle

-taping

-regulate IV

-change IV solution if 50 ml

Initiating IV

● Check the doctor's order

● Stop the infusion

● Add alcohol to the cotton

Discontinuing IVT

BOLUS

● Slow IV push ● 30 minutes

INFUSION

● Antibiotics are usually in soluset ○ Vancomycin ● Usually 30 mins - 1 hour

TANDEM SET-UP

● 2nd container - attached to the line of the first container at the lower port ● Medications are administered intermittently or simultaneously with the primary solution

PIGGY BACK

● The 2nd set connects the second container to the tubing of the primary container at the upper port ● Used solely for intermittent during administration

Phlebitis

○ Continuous puncturing of the vein ○ Infection may happen

INFILTRATION

IV fluid leaks into surrounding tissue

(IV was not placed properly in the vein)

PHLEBITIS

Inflammation of the vein.

Can lead to a clot (thrombophlebitis)

HEMATOMA

Collection of blood in the tissues

(typically happens when you "blow the vein")

Infection

Entry of microorganism into the body via IV

● Check the physician’s order

● Check indication

● Assess the patient

● Insert IV line using PNSS Solution

● Administer pre-blood transfusion medications as orders

● Transfuse the blood within prescribed time

● Monitor the patient accordingly ○ First hour, every 15 minutes

● Monitor for BT Reactions ○ Hemolytic reaction ○ Anaphylactic reaction

● Document the procedure one

BLOOD TRANSFUSION NC

● Check the physician's order

● Check indication

● Assess the patient

● Check the IV Site (Central lines/PICC) ○ Ideally it is central line

● Administer the solution for 24 hours

● Do not catch up if delayed in the transfusion

● Monitor the patient accordingly

● Monitor blood glucose level through CBG

● Document the procedure done

NURSING CONSIDERATIONS/RESPONSIBILITIES TPN