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Thread: IV Therapy Indications, Complications

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    Alternative_Comic is offline Senior Member Post Graduate Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute Alternative_Comic has a reputation beyond repute
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    Default IV Therapy Indications, Complications



    IV Therapy Indications, Complications


    Term Description
    IV Therapy Indications fluid volume maintenance, fluid volume replacement, med administration, blood administration, TPN, emergency line,
    Advantages of IV Therapy faster absorption, rapid distribution, emergency access, unconscious patient
    Infection Control in IV 70% isopropyl alcohol inhibits bacterial growth, apply with friction; Iodine, inhibits bacterial growth, penetrates cell wall
    IV and Dressing changes PICC-every 6 weeks, IV inserted by paramedic w/in 24 hours, Peripheral site every 72 hours, Blood and TPN every 24 hours, CVC every 48-72 hours or 3xper week.
    Nursing responsibilities for IV sites assess site whenever in room, document at least every 8 hours, site CDI (clean, dry, intact), sterile technique, changine tubing and solution, awareness of complications, awareness of fluid types, 5 rights
    Complications of IV therapy Pain and irritation, infiltration and exravasion, occlusion, loss of patency, phlebitis, fluid overload
    Pain and irritation of IV-intervention increase amt of dilutent, arm board
    Infliltration seepage of IV fluids into tissue when IV cath penetrates vein
    Extravasion escape of irritating agent into tissue
    Extravasion and Infiltration Assessment swelling, pain, cool to touch, decreased flow, wet dressing, no back flow.
    Causes of Infiltration and Extravasion catheter permeates vein, poor taping of site, over manipulation
    Intervention for Infiltration and Extravasion Remove IV, cool compress
    Occlusion causes kinked tubing, patient lying on tubing, infusion too slow
    Occlusion assessment IV stops dripping
    Occlusion intervention milk IV, aspirate, irrigate (if no resistance OK, if resistance may be clot>
    Occlusion Prevention don't let IV run dry, flush periodically with 1-5 cc of NSS and before and after any intermittent IV therapy.
    Phlebitis Causes bacterial, chemical, mechanical
    Phelebitis Intervention remove IV, cool compress
    Phlebitis Assessment erythemia, pain or burning, warmth, edema, cordlike vein.
    Bacterial Phlebitis possible cause IV left in too long
    Chemical Phlebitis Cause irritating fluids
    Mechanical Phlebitis clot at tip of cannula, cath too large for vein.
    Crystalloids clear fluids, dextrose of saline, can be Iso, Hypo or Hyper tonic
    Colloids cloudy, yellowish, used to raise osmotic pressure, Dextran is clearish
    Isotonic IV same tonicity as body 0.9% NSS
    Indications for Isotonic IV Hypotension (increases BP), Hypovolemia
    Complications of Isotonic IV fluid overload
    Examples of Isotonic Solutions 0,9% NSS, D5W(isotonic in bottle, hypotonic in body), Lactated Ringers
    Indications for Hypotonic IV Will cause fluid to shift from intravascular to intracellular space.
    Indications for Hypotonic IV dehydration
    Hypotonic Solutions .45% sodium chloride, 5%dextrose water (becomes hypotonic in body)
    Complications of hypotonic solution May cause edema
    Indications for hypertonic IV low bp, slight edema but not w/CHF, pulls fluid from intracellular space to intravascular space
    Hypertonic IV Solution Not as strong as Albumin, 10% Dextrose in Water D10W, 5% normal saline, D5 Ringers Lactate
    Complications of Hypertonic IV more fluid in bloodstream can cause circulatory overload.
    PCA Patient Controlled Analgesia
    3 settings of PCA drug dosage, lockout period, basal rate
    Central Venous Therapy Indications inadequate vascular access, complex treatment regimes, hyperosmolar infustions ie parenteral nutrition, irritating or vesicant druges, (ie. dopamine cancause necrosis) rapid absorption, long term therapy.
    Contraindications for Central venous therapy altered skin integrity, anomalies of central vasculature, cancer in area, coagulopathies, fractured clavicle, septicemia, radiation to insertion site
    Common insertion pathways for Central Venous Therapy subclavian, jugular, femoral vein, cephalic vein(is peripheral but the line runs to central area)
    Risks and Complications of Central Venous Therapy Air embolism, pneumothorax, sepsis,chest pain, confusion, hypotension, dyspnea, pallor, tachycardia, tachypnea, unresponsiveness
    Components of Intravenous Nutritional Support amino acids, carbohydrates, electrolytes, minerals, vitamins, lipids, other (ie insulin)
    Lipids in Intravenous Nutritional Support lipids are administered via Piggy back. (white, thin liquid)
    Cautions for IV nutritional support not refrigerated, observe for spoilage (fat on top, discoloration), expiration dateNo filter. , must be infused on IV pump, glucose monitored, gradual weaning. Daily weights,
    Complications for IV nutritional support hypoglycemia, hyperglycemia, dehydration, infection
    Indications for IV Nutritional Support bowel surgery, chronic weight loss, bowel rest, coma, excess nitrogen loss, hepatic or renal failure, malnutrition, low serum albumin, hypermetabolic states



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    Default Re: IV Therapy Indications, Complications


    thnx.

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