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Peripheral Intravenous Therapy Principles and Practice Hospital Name
What You Will Learn Today ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cooperative Roles PATIENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VAT R.N. Unit R.N. Physician Unit L.P.N. Procedure Area R.N. I.R.
Unit RN Responsibilities for Peripheral IV Lines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policies and Procedures for Infusion Nursing
Care & Maintenance Routines ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reasons to Monitor ,[object Object],[object Object],[object Object],MONITORING IS KEY TO COMPLICATION PREVENTION
When Should You Monitor? ,[object Object],[object Object],MONITORING SHOULD BE  SYSTEMATIC AND ORGANIZED
Bag to Catheter Tip Assessment ,[object Object],[object Object]
Possible Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],TARGET PHLEBITIS RATE IS LESS THAN 5%
Today’s Focus on Complications ,[object Object],[object Object],[object Object],[object Object]
Phlebitis ,[object Object],[object Object],[object Object],[object Object],[object Object],Phlebitis may not  appear until 24h after the cannula has been removed
How to Protect the Intima and  Minimize or Delay Onset of Phlebitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Minimize Friction Against Intima Wall ,[object Object],[object Object],[object Object],[object Object],Venous Free Flow Around Catheter is GOOD! Movement of Catheter is BAD!
Minimize Particulate Matter ,[object Object],[object Object],[object Object],[object Object],[object Object]
Minimize Effects of pH and Osmolality ,[object Object],[object Object],[object Object],[object Object],[object Object]
pH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acidic Solutions Predispose V. to Phlebitis Back
How does this size catheter minimize  possibility of phlebitis? Baxter Illustration
Common Meds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FYI. Heparin increases pH and rarely causes phlebitis
IV Fluid (mOsm/L) (pH range) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phlebitis Assessment ,[object Object],[object Object],[object Object],[object Object]
Which Grade? Cause is mechanical
Which Grade? Cause is chemical
Which Grade? Photo: C. Lewis
Nursing Intervention: Phlebitis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infiltration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms will be more difficult to recognize early if skin turgor is poor
1, 2, and 3 courtesy of Baxter 1 3 4 2 4 adapted from Baxter
Extravasation ,[object Object],[object Object]
Infiltration Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Intervention: Infiltration and Extravasation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grade 1 Photo: C. Lewis Photo: C. Lewis
Grade 2 Photo: C. Lewis
Grade 3 Photo: C. Lewis
Grade 4 Photo: C. Lewis
Which Grade? ,[object Object],Photo: C. Lewis
Which Grade? ,[object Object],[object Object],[object Object],Dobutamine Infusion Photo: C. Lewis
Catheter-Related Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of Catheter-Related Infection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of Flow ,[object Object],[object Object],[object Object]
Resistance and Pressure = Flow ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How Do These Factors Influence Resistance and Pressure? ,[object Object],[object Object],[object Object],[object Object],P R
Troubleshooting ,[object Object],[object Object],[object Object],[object Object]
Catheter Occlusion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Thrombotic Mechanical
Nursing Intervention: Occlusion ,[object Object],[object Object],[object Object]
Rate Too Slow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rate Too Slow, cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pain, no sign of phlebitis or infiltration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Venous Spasm ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why Does a Pump Not Alarm When the IV is Infiltrating? ,[object Object],[object Object]
Hot Tip for Pumps ,[object Object]

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Hinweis der Redaktion

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