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Details

IV Access
From Medical-Surgical Nursing (Ignatavicius)
15
Nursing
Undergraduate 3
01/19/2011

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Cards

Term
IV Primary Goals
Definition
Normal F&E balance
Optimal nutrition balance
Maintaining hemostasis
Treating a number of conditions with meds
Term
IV Solutions
Definition
Isotonic
Hypotonic
Hypertonic
Term
Isotonic Solutions
Definition
Normal Saline (0.9% NaCl)
Lactated Ringers
D5W
*Same osmolarity as body
Term
Hypotonic Solutions
Definition
0.45% NaCl
0.3% NaCl
2.5% Dextrose in .45% NS
*Pulls fluid from tissue
Term
Hypertonic Solutions
Definition
3-5% NaCl
5% Dextrose
D10W
*Pushes fluid into tissue
Term
CDC Guidelines for IV
Definition
Assess q2h while awake
Inspect for signs of infiltration or phlebitis
Replace tubing q72h
IV site should be changed q72-96h
Term
More CDC Guidelines
Definition
Hep-locks should be replaced q96h
Don not apply antimicrobial agent to insertion site
Clean injection ports with alcohol and iodine before accessing system
Term
Helpful IV hints
Definition
Have all equip within easy reach
Set up fluid and tubing prior to entering room
Explain procedure to client
Set up IV and pump
Term
More helpful hints
Definition
Tourniquets are single use
Assess the veins able for access
Avoid dominant hand if possible
Start at lowest vein in hands
Term
Infiltration
Definition
S/S: IV rate slows, edema, skin tightness, coolness, burning sensation, tenderness, and fluid leakage
Term
Infiltration treatment
Definition
Stop and remove IV
Apply cold compress
Elevate extremity
Term
Phlebitis
Definition
S/S redness, swelling, pain, mild elevation of temperature, increase in HR, vein may become hard
Term
Phlebitis treatment
Definition
Stop infusion, place warm, moist compress over area
Term
Choosing catheter size
Definition
IV site
infusion speed
type of fluid to be given
Term
Tips about older adult
Definition
Fragile veins
Use smaller catheters, if possible
Use forearm more in older adults
Veins tend to roll more
Use minimal or no tourniquet pressure
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