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IV DELIVERY METHODS
IV routes
Basic methods for delivering IV therapy
Veins used in IV therapy Internal jugular External jugular Superior vena cava Left subclavian Cephalic Basilic Median cubital Median antebrachial Accessory cephalic Dorsal venous arch Metacarpal  Digital
Veins used in IV therapy
Making the right choice!
Continuous infusion
Continuous infusion
Intermittent infusion
Direct injection
Administration sets
Infusion flow rates Maintaining accurate flow rate for the solutions Runs to fast or too slow Volume – control devices & correct administration set  Familiar with all information in the doctor’s order
Calculating flow rates
Regulating flow rates
IV clamps
Pumps  Developed all the time Be sure to attend instruction sessions to learn how to use them Keep a file of instruction manual
Patient – controlled analgesia pumps (PCA)
Rate reminder Added to the IV tubing. Sets it to the desired flow rate, you adjust the clamp to deliver that rate. Be sure to label the infusion bag with the rate in milliliters per hour.
Rate reminder Don’t deliver infusions at rates lower than 5 – 10 ml/hr Adult patients and noncritical infusions
Checking flow rates
Documentation
Forms
Documentation of IV therapy When therapy is initiated, label the dressing on the catheter insertion site & the fluid container according to facility policy & procedures & document
 Abbreviations

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IV Delivery Methods

Hinweis der Redaktion

  1. Continuous – allows carefully regulated amount of fluid over a prolonged period.Intermittent – a solution (commonly a medication such as an antibiotic) given for shorter periods at set intervals. Direct – (sometimes called IV push) used to deliver single dose (bolus) of a drug.
  2. Advantages
  3. Disadvantages
  4. Secondary line is usually connected or piggybacked into the primary line by way of a Y – site ( y – shaped section of tubing with a self – sealing access port)
  5. Types of IV setsVented – plastic bags and some bottles.Other features & optionsIv administration sets comes with features as well, including ports for infusing secondary medications and filters for blocking microbes, irritants, or large particles. The tubing also varies. Some types are designed to enhance proper functioning of devices that help regulate the flow rate. Other tubing is used specifically for continuous or intermittent infusion or for infusing parenteral nutrition or blood.
  6. Maintain precise IV flow rates, use an infusion control device
  7. It resembles a roller clamp.Added to the IV tubing.Sets the rate minder to the desired flow rate, you adjust the clamp to deliver that rate.Be sure to label the infusion bag with the rate in milliliters per hour.
  8. Some limitations. Don’t deliver infusions at rates lower than 5 – 10 ml/hrMainly for adult patients and noncritical infusions.
  9. Assess flow rates more frequently in patients