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INTRAVENOUS IV

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					INTRAVENOUS (IV)
     Therapy

  SSgt. Mark Thomas
      NREMT-P
      OVERVIEW

 Definition
 Indications
 Equipment and Supplies
 Steps
 Monitoring
 Complications
    Definitions
 Intravenous Fluid Therapy
 Venipuncture
 Keep Vein Open
  (KVO/TKO)
 Transfusion
 Infusion
 Electrolyte Solution
Indicators for IV Therapy
   Shock

   Administration of medications

   Dehydration or replacement of
    fluid and electrolytes
 EQUIPMENT /SUPPLIES
 Administration set (tubing)
 Needle/ catheter
 IV fluids
 Additional supplies
   Administration Sets
 Macro-drip    Set - used in
 emergency situations to deliver large
 amounts of fluid.


 Mini-drip   Set - used to keep an IV
 line open, flowing with minimal
 volume infusion.
  Needle / Catheter
Three types
 Butterfly
 Catheter over needle
 Catheter through needle
    Needle/Catheter
Sizes
 Large   gauge
   »14, 16, 18
 Small   gauge
   »20, 21, 22, 23, 26 etc..
     Intravenous Fluids
Solutions            Abbreviations
5% Dextrose          D5W
10% Dextrose         D10W
Normal Saline        NS
Half-Normal Saline   1/2 NS
Quarter-Normal       1/4 NS
  Saline
Lactated Ringers     LR
     Additional Supplies
 Constricting Band
 Tape
 Scissors
 Gauze
 Cravats
 Short Arm Board
 IV Pole
Procedure to Start IV
      Infusion
 Prepare  Solution
 Select sight
 Prepare sight
 Perform venipuncture
 Secure
      Prepare Solution
 Fluid selection
 Check solution
    » Expiration date
    » Sterile seals intact
    » Solution is clear
 Administration set
 IV. needle or catheter
       Selecting the Site
   Upper extremity
      » Cephalic
      » Medial Basilica
      » Dorsal Arch (hand)
 Vein is straight
 Not distal to injury sight
      Preparing the Site
Constricting Band
      » 2 - 6 inches above veinpuncture sight
      » Restrict venous blood flow only


   Clean Area
      » Allergies?
      » Betadine pad
      » Alcohol pad
Performing the Venipuncture
 BSI
 Traction
 Insert needle/catheter
    » Bevel up
    » 30 degree angle
 Advance needle/catheter slowly
 Flash
 Advance 1/4 inch
Performing the Venipuncture
 Withdraw needle 1/4 inch
 Advance catheter
 Blood samples
 Attach administration set/tubing
 Release constricting band
 Open flow
            Securing IV
   Tape
      »1/2” wide sticky side up under hub
      » Criss-cross tape over hub
      » Loop tubing and tape
   Transparent IV dressing (Opsight)
      » Place over catheter and pucture sight
      » Secure to skin
      » Loop tubing and tape
Monitoring the Patient and IV
 Vital  signs
 Overhydration
 Monitor flow rate
 Infiltration
 Replacing container
    Complications of IV
        Therapy
 Local   Complications

    »Pain
    »Infiltration
    »Infection
    »Arterial puncture
         Complications
 Systemic
   » Air embolism
   » Circulatory overload
   » Anaphylaxis


 Environmental
   » Cold climates
   » Disposition of needle
           Summary
 Define IV therapy
 Indications
 Equipment and supplies
 Steps
 Monitoring the patient and IV
 Complications
Questions?

				
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posted:8/1/2011
language:English
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