1 / 21

Chapter 7

Chapter 7. Nursing Care of Patients Receiving IV Therapy. Intravenous (IV) Therapy. The Administration of Fluids or Medication Via a Needle or Catheter (Cannula) Directly Into the Bloodstream. Indications for IV Therapy. Hydration Electrolyte Replacement Nutrition (PPN or TPN)

carol-shannon
Download Presentation

Chapter 7

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. Chapter 7 Nursing Care of Patients Receiving IV Therapy

  2. Intravenous (IV) Therapy The Administration of Fluids or Medication Via a Needle or Catheter (Cannula) Directly Into the Bloodstream

  3. Indications for IV Therapy • Hydration • Electrolyte Replacement • Nutrition (PPN or TPN) • Medication Administration • Blood Product Transfusions

  4. Types of Infusions • Continuous • Intermittent • Piggy Back • Injection Caps • Direct Injection/IVP

  5. Methods of Infusion • Gravity Drip • Electronic Infusion Devices (EIDs) • Mechanical Controllers

  6. Factors Affecting Flow • Change in Catheter Position • Height of Solution • Patency of Catheter

  7. Calculation Practice You need to administer 1,000 mL of 0.9% sodium chloride over 6 hours. You have tubing with a drop factor of 10. How many drops per minute will you deliver?

  8. Calculate Drip Rate

  9. Types of Fluids • Dextrose Solutions • Sodium Chloride Solutions • Balanced Electrolyte Solutions

  10. Osmolarity of IV Solutions • Isotonic • e.g., 0.9% Sodium Chloride • Hypotonic • e.g., 0.45% Sodium Chloride • Hypertonic • e.g., Dextrose 5% in 0.9% Sodium Chloride

  11. Access • Peripheral • Central

  12. Starting a Peripheral Line

  13. Nursing Care Fear Impaired Physical Mobility Risk for Infection

  14. Gerontological Issues • Monitor for Fluid Overload • Elevated Blood Pressure • Increasing Weight • Bounding Pulse • Shallow, Rapid Respirations • Jugular Venous Distention (JVD) • Increased Urine Output • Crackles

  15. Local Complications • Hematoma • Thrombosis • Phlebitis • Infiltration/Extravasation • Local Infection • Venous Spasm

  16. Systemic Complications • Septicemia • Circulatory Overload • Venous Air Embolism • Speed

  17. Central Venous Catheters • Types • Non-tunneled Central Catheter • Tunneled Catheter • Picc • Ports • Rationale for Use

  18. Central Venous Catheters (cont’d)

  19. Nutritional Support • Rationale • For Patients Unable to Eat or Tolerate Tube Feedings • Contents • Carbohydrates (CHOs) • Amino acids • Electrolytes • Trace Elements • Vitamins • Lipids

  20. Nursing Care of Patients Receiving TPN • Initial and Ongoing Assessment • Monitor Blood Glucose • Monitor Signs and Symptoms of Infection • Initiate and Discontinue Slowly

  21. Home IV Therapy • Fluid Replacement • Treatment of Infection • Nutritional Support

More Related