IV Therapy Notes

Introduction to IV Therapy

  • Definition: Intravenous (IV) therapy is the administration of fluids, electrolytes, nutrients, or medications through a needle or cannula into a vein.
  • Types of IV Therapy:
    • Peripheral IVs: Placed in the arms, typically for short-term use.
    • Central Venous Therapy: Includes tunneled, non-tunneled, PICC lines, or implanted ports.

Intravenous Fluids

  • Types:
    • Crystalloid Solutions:
    • Isotonic: Same concentration as plasma (e.g., D5W, Lactated Ringer's, Normal Saline).
    • Hypotonic: Lower concentration than plasma, swells cells (e.g., 0.45% NaCl).
    • Hypertonic: Higher concentration than plasma, shrinks cells (e.g., 3% saline, D10W).
    • Colloid Solutions: Blood products, plasma expanders (e.g., whole blood, fresh frozen plasma).

IV Administration

  • Equipment Selection:
    • Gauge of needle depends on therapy type, viscosity of medications, and vein size.
    • Larger needles are needed for blood transfusions to prevent lysis of blood cells.