INTRAVENOUS IV Therapy - PowerPoint PPT Presentation

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Title:

INTRAVENOUS IV Therapy

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... and Supplies. Steps. Monitoring. Complications. Definitions. Intravenous ... Medical. Terms. Indicators for IV Therapy. Shock. Administration of medications ... – PowerPoint PPT presentation

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Title: INTRAVENOUS IV Therapy


1
INTRAVENOUS (IV) Therapy
  • SSgt. Mark Thomas
  • NREMT-P

2
OVERVIEW
  • Definition
  • Indications
  • Equipment and Supplies
  • Steps
  • Monitoring
  • Complications

3
Definitions
  • Intravenous Fluid Therapy
  • Venipuncture
  • Keep Vein Open (KVO/TKO)
  • Transfusion
  • Infusion
  • Electrolyte Solution

Medical Terms
4
Indicators for IV Therapy
  • Shock
  • Administration of medications
  • Dehydration or replacement of fluid and
    electrolytes

5
EQUIPMENT /SUPPLIES
  • Administration set (tubing)
  • Needle/ catheter
  • IV fluids
  • Additional supplies

6
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.

7
Needle / Catheter
  • Three types
  • Butterfly
  • Catheter over needle
  • Catheter through needle

8
Needle/Catheter
  • Sizes
  • Large gauge
  • 14, 16, 18
  • Small gauge
  • 20, 21, 22, 23, 26 etc..

9
Intravenous Fluids
  • Solutions
  • 5 Dextrose
  • 10 Dextrose
  • Normal Saline
  • Half-Normal Saline
  • Quarter-Normal Saline
  • Lactated Ringers
  • Abbreviations
  • D5W
  • D10W
  • NS
  • 1/2 NS
  • 1/4 NS
  • LR

10
Additional Supplies
  • Constricting Band
  • Tape
  • Scissors
  • Gauze
  • Cravats
  • Short Arm Board
  • IV Pole

11
Procedure to Start IV Infusion
  • Prepare Solution
  • Select sight
  • Prepare sight
  • Perform venipuncture
  • Secure

12
Prepare Solution
  • Fluid selection
  • Check solution
  • Expiration date
  • Sterile seals intact
  • Solution is clear
  • Administration set
  • IV. needle or catheter

13
Selecting the Site
  • Upper extremity
  • Cephalic
  • Medial Basilica
  • Dorsal Arch (hand)
  • Vein is straight
  • Not distal to injury sight

14
Preparing the Site
  • Constricting Band
  • 2 - 6 inches above veinpuncture sight
  • Restrict venous blood flow only
  • Clean Area
  • Allergies?
  • Betadine pad
  • Alcohol pad

15
Performing the Venipuncture
  • BSI
  • Traction
  • Insert needle/catheter
  • Bevel up
  • 30 degree angle
  • Advance needle/catheter slowly
  • Flash
  • Advance 1/4 inch

16
Performing the Venipuncture
  • Withdraw needle 1/4 inch
  • Advance catheter
  • Blood samples
  • Attach administration set/tubing
  • Release constricting band
  • Open flow

17
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

18
Monitoring the Patient and IV
  • Vital signs
  • Overhydration
  • Monitor flow rate
  • Infiltration
  • Replacing container

19
Complications of IV Therapy
  • Local Complications
  • Pain
  • Infiltration
  • Infection
  • Arterial puncture

20
Complications
  • Systemic
  • Air embolism
  • Circulatory overload
  • Anaphylaxis
  • Environmental
  • Cold climates
  • Disposition of needle

21
Summary
  • Define IV therapy
  • Indications
  • Equipment and supplies
  • Steps
  • Monitoring the patient and IV
  • Complications

22
Questions?
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