1 / 16

Medical-Surgical Nursing: An Integrated Approach, 2E Chapter 11

Medical-Surgical Nursing: An Integrated Approach, 2E Chapter 11. IV Therapy. IV Therapy . Administration of fluids, electrolytes, nutrients or medications by the venous route. . Parenteral Fluids.

bina
Download Presentation

Medical-Surgical Nursing: An Integrated Approach, 2E Chapter 11

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medical-Surgical Nursing: An Integrated Approach, 2E Chapter 11 IV Therapy

  2. IV Therapy • Administration of fluids, electrolytes, nutrients or medications by the venous route.

  3. Parenteral Fluids • Hypotonic Fluids – lowers the osmotic pressure and causes fluid to move into cells • Isotonic Fluids – increases extracellular fluid volume • Hypertonic Fluids – increases osmotic pressure, drawing fluid from cells

  4. Equipment Needed • IV Filters – remove particulate matter from solutions • Needles & Catheters – provide access to venous system • Peripheral IV & Heparin locks – establish a nenous route in those clients whose condition may change rapidly • Vascular Access Devices – allow long-term IV therapy

  5. Preparing a Solution • Review agency policies • Verify the expiration dates

  6. Initiating IV Therapy • Use the shortest needle and smallest gauge • Consider the client’s age, health and skin condition • In general, begin with the hand and move up the arm

  7. Locating a Vein • Place a tourniquet on patient’s arm • Palpate for vein with index and middle finger of non-dominate hand

  8. Placing the Needle • Prepare selected site according to institution standards • Hold the needle at a 10-30 degree angle

  9. Administering Flow-Rate • Flow Rate must be calculated • Period of administration may vary

  10. Calculating Flow Rate Total Volume = mL/hour infusion rate Hours of Infusion For example: 1000 mL = 125 mL/hour infusion rate 8 Hours

  11. Managing IV Therapy • IV Therapy requires constant monitoring • Concerns may be: • Hypervolemia (increased fluid volume) • Infiltration (seepage of foreign substances) • Phlebitis

  12. IV Drug Therapy • The IV route is used when a rapid effect is desired • An immediate impact may be realized

  13. Methods of IV Drug Therapy • Intravenous fluid container • Volume-control administration set • Intermittent infusion by piggyback or partial fill • IV push or bolus

  14. Blood Transfusions • Designed to replace blood loss with whole blood or blood components • Used to restore blood volume after severe hemorage

  15. Whole Blood • Contains red blood cells (RBCs) and plasma

  16. Administering Blood • Follow institution guidelines • Verify consent form • Watch for reactions: • Allergic • Febrile • Hemolytic

More Related