IV Therapy

1. IV Therapy • Purposes • Restore or maintain F & E • Administer meds • Provide nutrition • Transfusion • Route for blood samples

2. Components of IV Orders • Type of Solution • Additives • Rate and volume • Duration • Method

3. Types of Solutions • Isotonic • Expand intravascular volume • 0.9% Saline • D5W • Lactated ringers

4. Hypertonic Draw fluid from cells D5 in 0.45 Saline D5 in NS D5 LR 3% NaCl D10W Hypotonic Shift fluid into cells 0.33% Saline 0.45% Saline 2.5 Dextrose Types of Solutions

5. Containers Glass bottles Plastic bags Administration Sets Drop factor Macro drips Microdrips Y ports Buretrols In line filters Timing strips Electronic Infusion Devices Equipment

6. Monitoring Therapy • Flow Rate • Influences • Viscosity • Height of container • Cannula position • Position of extremity • Frequency • Solution

7. Sites • Peripheral • arms • legs • Central • subclavian • internal jugular • uses

8. Figure 48.13b

9. Figure 48.13a

10. Figure 48.14

11. Figure 48.14b

12. Monitoring Therapy • Site care • dressings • site change • Tubing and bag changes • Prevent complications

13. Documentation • Site location and condition • Solution and additives • Flow rate • Pump use • Tubing and solution change • Site care • Discontinuation

14. Local Complication- Hematoma • Hematoma • S & S • Interventions • Prevention

15. Local Complication-Infiltration • Infiltration • S & S • Interventions • Prevention

16. Local Complication-Phlebitis • Phlebitis • S & S • Interventions • Prevention

17. Local Complication-Site Infection • Site infection • S & S • Interventions • Prevention

18. Local complication-Tissue Sloughing • Tissue Sloughing • S & S • Interventions • Prevention

19. Local Complications • Clotting • S & S • Interventions • Prevention

20. Catheter Embolism S & S Interventions Prevention Air embolism S & S Interventions Prevention Circulatory Overload S & S Interventions Prevention Systemic Infection S & S Interventions Prevention Systemic Complications