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Anaesthetics ASCOM 52000, After hours / public The IV administration set connects the bag of solution to the patients IV access site. Dr. ASHOK DHAKA BISHNOI Flexibility helps to set us apart. Your nurse will hang the secondary bag higher than the first and prime the line. Role Definition The IV nurses are RNs committed to ensure the safety of all patients receiving IV Therapy. The size of the primary fluid bag is based on infusion need, patient condition, and age. Administering fluids containing glucose concentration greater than 12.5% will require central venous line accessdue to the risk of vascular endothelial damage. IV therapy, Nurse's role Dec. 06, 2012 7 likes 18,071 views Download Now Download to read offline Education Nutcharee Jungvanichar Follow Center Director, Oncology Services & Health Screening Center at Bumrungrad International Hospital Advertisement Advertisement Recommended Intravenous medication, Care and Complications If detected early, extravasation may be treated with medications that help avoid the complication of necrosis. Clipping is a handy way to collect important slides you want to go back to later. You can read the details below. pressure dot, cotton wool and tape or Band-Aid, Advise the child and Administration Sets Apparatus that connects large volume parenteral solution with IV access device into patient veins Insertion spikes Clip chamber Plastic tubing with rate control clamp Rubber injection port Needle adapter and protective cap on needle adapter, Saline Lock Over needle cath left in for medical administration Flush every 8 hours Flush before/after meds, Rules and Regulations Regarding IV Therapy for the LPN See Handout from OBN website Chapter 4723-17 Try to access sites, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. <> Additionally, IV fluid administration is considered a medical intervention and requires a medication order prior to the initiation of fluid therapy. Read on for answers and information. , Reset IV combines world-class service with personal attention. For assistance with difficult intravenous access, 0730 - 1730 (Mon Fri): Inject the prescribed drug into the burette via the additive port. Used to clients who are unable to take orally. Extravasation refers to infiltration of damaging intravenous medications, such as chemotherapy, into the extravascular tissue around the site of infusion. The nurses responsibilities in managing IV therapy include the following: IV medications and fluids enter the patients bloodstream directly through the vein. Administer Hyperbaric Oxygen Therapy sessions. M( ( ( (;R$9VWC! We provide on-demand, concierge IV hydration; a fast, convenient, and effective treatment to help you feel and look your best. PDF Intravenous Therapy If the patient no longer requires IV access for infusions, remove the cannula at the earliest to avoid complications. Nurses who are deemed competent in IV insertion could continue to insert PIVC in consultation with NUM/CSNs. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. It is also used to calculate the rate at which fluid is administered by gravity (drops per minute). We've updated our privacy policy. Skin preparation use 2% chlorhexidine and 70% alcohol swab or solution for dressings. Phlebitis of superficial veins can occur due to trauma to the vein during insertion of the IV catheter. It is the administration of fluid in to blood stream by I/V catheter or butterfly needle inserted in to a peripheral vein replace water, Electrolyte & Nutrients Introduction:-. All components are to be changed earlier if the integrity of the dressing is compromised or if there is any visible debris in any of the add on devices or needleless connectors. Nursing is core part in health service delivery system in which health promotion, disease prevention; curative and rehabilitative health . If these conditions occur, promptly notify the provider for treatment; the IV catheter will need to be removed and replaced at an alternative site, and additional medication may be prescribed. IV board / splints are recommended to secure PIVC placed in or adjacent to areas of flexion. nursing responsibilities for iv therapy ppt - albakricorp.com Nurse Practice Act: (Ohio) Palpation: Peripheral: Peripherally Inserted Central Catheters: (PICCs) Phlebitis: Piggyback: Roller clamp: Tourniquet: TPN: Transparent Dressing: Venipuncture: Other Terms: Questions???????? include a number of complications which range from infiltration, extravasation, Isotonic fluids have a similar concentration to the solutes contained in blood, so they do not cause the osmotic movement of fluid into or out of the patients individual cells. IV Therapy Class. The shorter secondary line gets placed into the port onto the main, where it locks in place. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Now customize the name of a clipboard to store your clips. 22. endobj Primary fluids are typically administered using an IV pump. Experience in IV Therapy nursing; Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. endstream dr. ahmed magdy md general surgery. Here are 13 of the most common tasks nurses are responsible for: 1. Determine the need for an assistant considering patient age, developmental level and family participation prior to the procedure. [4],[5] Additionally, clinical pharmacists can also be helpful resources for determining the appropriate type of infiltration treatment. For this profession however, the pros seem to outweigh the cons. Hypotonic fluids have a lower concentration of solutes than blood. Scope of Practice B. Syringes with an internal diameter smaller than that of a 10mL syringe can produce higher pressure in the lumen and rupture the catheter. When exiting the flushing of extension set you must use a positive pressure clamping technique. Continuous fluids may also be ordered to run until the provider gives a follow-up order to discontinue or decrease the fluid rate. IV Therapy has been a part of medicine for a century. It appears that you have an ad-blocker running. 22. presentation. in the summer, when the sun is burning, CLASS IV - . Many common preparations come in 25 to 100 mL bags. Use 10mL syringe for flushing to avoid excessive pressure and catheter rupture. Allow skin preparation to air dry prior to applying any dressing, this allows the disinfectant to work. 2.8 Functional Health and Activities of Daily Living, 2.11 Checklist for Obtaining a Health History, Chapter Resources A: Sample Health History Form, 3.6 Supplementary Video of Blood Pressure Assessment, 4.5 Checklist for Hand Hygiene with Soap and Water, 4.6 Checklist for Hand Hygiene with Alcohol-Based Hand Sanitizer, 4.7 Checklist for Personal Protective Equipment (PPE), 4.8 Checklist for Applying and Removing Sterile Gloves, 6.12 Checklist for Neurological Assessment, 7.1 Head and Neck Assessment Introduction, 7.3 Common Conditions of the Head and Neck, 7.6 Checklist for Head and Neck Assessment, 7.7 Supplementary Video on Head and Neck Assessment, 8.6 Supplementary Video on Eye Assessment, 9.1 Cardiovascular Assessment Introduction, 9.5 Checklist for Cardiovascular Assessment, 9.6 Supplementary Videos on Cardiovascular Assessment, 10.5 Checklist for Respiratory Assessment, 10.6 Supplementary Videos on Respiratory Assessment, 11.4 Nursing Process Related to Oxygen Therapy, 11.7 Supplementary Videos on Oxygen Therapy, 12.3 Gastrointestinal and Genitourinary Assessment, 12.6 Supplementary Video on Abdominal Assessment, 13.1 Musculoskeletal Assessment Introduction, 13.6 Checklist for Musculoskeletal Assessment, 14.1 Integumentary Assessment Introduction, 14.6 Checklist for Integumentary Assessment, 15.1 Administration of Enteral Medications Introduction, 15.2 Basic Concepts of Administering Medications, 15.3 Assessments Related to Medication Administration, 15.4 Checklist for Oral Medication Administration, 15.5 Checklist for Rectal Medication Administration, 15.6 Checklist for Enteral Tube Medication Administration, 16.1 Administration of Medications Via Other Routes Introduction, 16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration, 17.1 Enteral Tube Management Introduction, 17.3 Assessments Related to Enteral Tubes, 17.5 Checklist for NG Tube Enteral Feeding By Gravity with Irrigation, 18.1 Administration of Parenteral Medications Introduction, 18.3 Evidence-Based Practices for Injections, 18.4 Administering Intradermal Medications, 18.5 Administering Subcutaneous Medications, 18.6 Administering Intramuscular Medications, 18.8 Checklists for Parenteral Medication Administration, 19.8 Checklist for Blood Glucose Monitoring, 19.9 Checklist for Obtaining a Nasal Swab, 19.10 Checklist for Oropharyngeal Testing, 20.8 Checklist for Simple Dressing Change, 20.10 Checklist for Intermittent Suture Removal, 20.12 Checklist for Wound Cleansing, Irrigation, and Packing, 21.1 Facilitation of Elimination Introduction, 21.4 Inserting and Managing Indwelling Urinary Catheters, 21.5 Obtaining Urine Specimen for Culture, 21.6 Removing an Indwelling Urinary Catheter, 21.8 Applying the Nursing Process to Catheterization, 21.10 Checklist for Foley Catheter Insertion (Male), 21.11 Checklist for Foley Catheter Insertion (Female), 21.12 Checklist for Obtaining a Urine Specimen from a Foley Catheter, 21.14 Checklist for Straight Catheterization Female/Male, 21.15 Checklist for Ostomy Appliance Change, 22.1 Tracheostomy Care & Suctioning Introduction, 22.2 Basic Concepts Related to Suctioning, 22.3 Assessments Related to Airway Suctioning, 22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation, 22.5 Checklist for Tracheostomy Suctioning and Sample Documentation, 22.6 Checklist for Tracheostomy Care and Sample Documentation, 23.5 Checklist for Primary IV Solution Administration, 23.6 Checklist for Secondary IV Solution Administration, 23.9 Supplementary Videos Related to IV Therapy, Chapter 15 (Administration of Enteral Medications), Chapter 16 (Administration of Medications via Other Routes), Chapter 18 (Administration of Parenteral Medications), Chapter 22 (Tracheostomy Care & Suctioning), Appendix A - Hand Hygiene and Vital Signs Checklists, Appendix C - Head-to-Toe Assessment Checklist. An example of hypotonic fluid is 0.45% normal saline (1/2NS). Be sure to follow evidence-based infection prevention practices, such as performing hand hygiene, performing a vigorous mechanical scrub of needleless connectors, limiting catheter access, and following sterile no-touch technique during intravenous infusion to reduce the risk of vascular catheterassociated infection. SYRINGE PUMPS Holds prefilled syringe Positive pressure to plunger delivers specific volume Used for small volume Insulin pumps, PCA pumps Safer, preprogramming to prevent calculator errors, Initiate: Intermittent Infusion: (Piggyback) Intravenous: (IV) IV Bolus: IV Push: Maintain. Check the expiration date when obtaining a new tubing administration set. Registered Nurse (RN) IV Infusion Therapy-Santa Monica- Part Time Keeping your patient involved in his care fosters a constructive dialogue. Do not sell or share my personal information, 1. Perform hand hygiene Understanding more of the responsibilities of nurses can make it easier to feel comfortable receiving IV therapy. Nursing Skills by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. w !1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Primary IV fluid infusions are prescribed by health care providers to restore or maintain hydration and electrolyte status within the body. IV fluid therapy - Applied sciences lecture course. IV THERAPY - . It is important for the nurse to continually monitor a patients skin turgor, urinary output, lung sounds, and oxygen requirements and to assess for any new edema to offer important insight into their fluid volume status. _? rn. This form of IV therapy usually contains medications that are supplied in a smaller infusion bag and mixed with a diluent fluid like saline (e.g., IV antibiotics). The SlideShare family just got bigger. Intravenous (IV) fluids and medications are administered through flexible plastic tubing called an IV administration set. medical guidelines and procedures are used, whether a nurse gives IV therapy in a hospital or a hotel. Ensure there is a clear window where thecannula enters the skin- insertion site, so the site can be regularly viewed.