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Fundamental Nursing Skills and Concepts

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The administration of a drug via peripheral and central veins which ... Implanted port can sustain 2,000 puncture sites. MEDICATIONS ADMINISTERED USING A CVC ... – PowerPoint PPT presentation

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Title: Fundamental Nursing Skills and Concepts


1
Fundamental Nursing Skills and Concepts
  • Chapter 35

2
INTRAVENOUS ROUTE
  • The administration of a drug via peripheral and
    central veins which provides an immediate effect.
  • This route is the most dangerous
  • Drugs given in this manner cannot be retrieved
    once they have been delivered
  • Only qualified nurses are permitted to administer
    IV medications

3
INTRAVENOUS MEDICATION ADMINISTRATION continuous
or intermittent
  • A quick response is needed during an emergency
  • Clients have disorders (e.g. serious burns) that
    affect the absorption or metabolism of drugs
  • Blood levels of drugs need to be maintained at a
    consistent therapeutic level, such as when
    treating infections caused by drug-resistant
    pathogens or providing postoperative pain relief
  • It is the clients interest to avoid the
    discomfort of repeated intramuscular injections
  • A mechanism is needed to administer drug therapy
    over a prolonged period, as with cancer

4
ADMINISTRATION TYPES
  • CONTINUOUS-Instillation of a parenteral drug over
    several hours also called a continuous drip.
  • INTERMITTENT-Is a short term parenteral
    administration ranging from a few minutes to one
    hour.
  • BOLUS-The term bolus refers to a substance given
    all at one time. A bolus administration is
    undiluted medication given directly into a vein,
    could be given IV push.
  • SECONDARY INFUSION-The administration of a
    parenteral drug that has been diluted in a small
    volume of IV solution, usually 50-100mL, over
    30-60 minutes

5
CENTRAL VENOUS CATHETER
  • A central venous catheter is venous access that
    extends to the vena cava or right atrium. It
    provides a means for administering parenteral
    medication in a large volume of blood.
  • CVC is used when
  • Clients require long-term IV fluid or medication
    administration
  • IV medications are irritating to peripheral veins
  • It is difficult to insert or maintain a
    peripherally inserted catheter

6
PERCUTANEOUS CATHETERS
  • A percutaneous catheter is inserted through the
    skin in a peripheral vein (jugular or subclavian)
  • This type of catheter is used when clients
    require short-term fluid or medication therapy,
    lasting a few days or weeks
  • Most are inserted by a physician and sutured in
    place

7
IMPLANTED CATHETERS
  • An implanted catheter is sealed beneath the skin
  • It provides the greatest protection against
    infection
  • Possesses a self sealing port
  • Implanted port can sustain 2,000 puncture sites

8
MEDICATIONS ADMINISTERED USING A CVC
  • Antineoplastic agents-Medications used to destroy
    or slow the growth of malignant cells also
    commonly referred to as chemotherapy

9
NURSING IMPLICATIONS NURSING DIAGNOSES
  • Anxiety
  • Fear
  • Risk for Injury
  • Risk for Infection
  • Excess Fluid Volume
  • Ineffective Protection

10
GERONTOLOGICAL CONSIDERATIONS
  • Older adults commonly receive IV medications
  • Increasing emphasis on early discharges may
    require teaching older adults to flush venous
    access equipment
  • Older adults require frequent and comprehensive
    assessment before and after IV medication
    administration because they are more likely to
    manifest adverse reactions
  • Explain the purpose for each medication
    administered, especially by the IV route, is
    important because older adults often are
    reluctant to ask questions
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