IV cannula

1. TO –RESPECTED
NEHA PANDEY MAM.
FROM – SHAILEE TRIVEDI.
INTRAVENOUS CANNULATION
PROCEDURE
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3. INDEX
3
Sr no. Topic. Page no .
1 I.V cannulation defination 4
2 Parts of cannula 5
3 Types of cannula 6
4 Number of i.v. cannula 7
5 Indication of i.v.cannulation 9
6 Advantages of i.v. cannulation 10
7 what equipement what you need? 11

4. INDEX
4
SR
NO.
TOPICS. PAGE
NO
8 Preperation of i.v. cannulation 14
9 Selecting a vein forearm and hand 16
10 Signs of good vein 19
11 What veins should you avoid? 20
12 I. v. cannulation procedure 21
13 Complications of i.v. cannulation 27
14 Prevention of complicartion of i.v.
cannulation
30
15 Vip score form 31
16 I.V. assessment tool 32
17 Bibliography 33

5.  an IV is a small plastic tube, inserted into a
vein, usually in your hand or arm.
An iv used to :
Provide fluids when person are dehydrated
or can’t drink.
Give a blood transfusion.
Administer medications.
What Is I . V. Cannulation ?
5

6. PARTSOF CANNULA
 Following pic is parts of iv cannula:
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7. TYPES OF CANNULA
 Pen type
 Open type with injection port
 Open type with butterfly wing
 Closed “y” type
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8. Numbers Of Iv Cannula
 Ven flon no 14 orange colour
 Ven flon no 16 grey colour
 Ven flon no 18 green colour
 Ven flon no 20 pink colour
 Ven flon no22 blue colour
 Ven flon no 24 yellow colour
 Ven flon no 26 purple colour
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9.  NUMBERS OF IV CANNULA:
9

10.  Indications
iv cannulation
 Intravenous chemotherapy administration.
 Intravenous nutritional support.
 Intravenous blood & blood products
administration.
 Intravenous administration of radiological contrast
agent for computed tomography.
 Intravenous medication administration.
 Intravenous fluid administration .
 Repeated blood sampelling.
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11. ADVANTAGESOF IV CANNULA
 Immediate effect
 Control over the rates of administration
 Patient cannot tolerate drugs/fluids orally.
 Some drugs can not be absorbed by any other
route.
 Pain and irritation is avoided compared to some
substanes when given sc/im.
 That should be prvenntion of aspirations while
taking oral medication.
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12.  WHATEQUIPMENTDOYOUNEED?
 Iv cannulation tray
 Gloves
 Makin tosh
 Skin razor
 Alcohol based hand rub
 Gauze swab
 Tourni quet
 Iv cannula no 16,18,20,22,24
 Transparent dressing(tegaderm) to Secure cannula
 Posiflush
 Extension set (bd-q-s et)
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13.  IV CANNULATIONTRAY
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14.  Preperation of iv cannula
• Introduce the patient.
• Explanation the procedure.
• Hand wash.
• Position the patient appropriately and identify the
non-dominant hand /arm.
• Support arm on pillow or in other suitable manner.
• Check for any contra-indication e.g. Infection,
damaged tissue ,a.v. fistula etc.
• Watch patient condition, age, and according
patient’s need ven flon numbr select and should
be inserted.
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16.  SELECTINGA VEIN
 Veins of the forearm
1. Cephalic vein
2. Median cubital vein
3. Accessory cephalic vein
4. Basilic vein
5. Median antebrachial vein
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17.  SELECTINGA VEIN
 Veins of the hand
1. Digital dorsal veins.
2. Dorsal metacarpal veins.
3. Dorsal venous network.
4. Cephalic vein.
5. Basilic vein .
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19.  WHATARETHESIGNSOF A GOODVEIN?
 Bouncy.
 Soft.
 Above previous site.
 Refills when depressed.
 Visible.
 Has a large lumen.
 Well supported.
 Straight.
 Not again pricked.
 Easily palpable.
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20.  WHATVEINSSHOULDYOUAVOID?
 Thrombosed.
 Inflamed /bruised.
 Thin /fragile.
 Mobile.
 Near bony
prominences.
 Areas or sites of
infection, oedema or
phlebiitis.
 Have undergone
multiple previous
punctures.
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21. IV CANNULATIONPROCEDURE
 Procedure:
 Introduce your self to patient.
 Explain the procedure
To the patient.
 Approach with
A confident,calm
and caring attitude.
 Collect all
Equipment at patient
Side.
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22.  First Hand Wash Should Be Do
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23.  iv CaNNULATIONPROCEDURE:
 Wear the gloves.
 Do shavings and remove the hair.
 Apply tourniquet.
 Clean area with alcohol swab.
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24.  iv CaNNULATIONPROCEDURE:
 Remove the needle cap.
 Appropriate size of branula as per patient
Needs.
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25.  iv CaNNULATION PROCEDURE:
 Press lightly the vein using the thumb of non
dominant hand
 Strech the skin taut below the site of inseertion with
the thumb to stabilize vein.
 Hold cannula with bevel facing up and perform
cannul ation.
 Observe the back flow no any hematoma or
thrombosis.
 Flush the line with 0.9%ns 10ml / posi flush.
 Secure branula with tegaderm.
 Discard all disposable items & sharp seperately.
 Wash hands.
 Fill the vip score form.
 Documentation in patient file.
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27. COMPLICATIONSOF CANNULATION
1. Local 2. Systemic
 Infiltration
 Extravasation
 Thrombosis
 Cellulitis
 Phlebities
 Embolism
 Hematoma
 Systemic infection
 Speed shock
 Circulatory overload
 Allergic reaction
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28. INFILTRATION:-To enter, permeate, or pass through
a substance or area by filtering or by insinuating
gradually.
EXTRAVASAT
ION
The leakage of
blood, lymph,
other fluid from
blood vessel into
the tissue
 PHLEBITIES:
Inflammation of a vein its happened with blood or
without blood too.
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29. THROMBOSIS& CELLULITIS
 THROMBOSIS: Thrombosis occurs when blood
clots block vein or arteries.
 CELLULITIS: A common and potentially serious
bacterial skin infection.
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30. PREVENTION OF IV LINE COMPLICATION
 Check iv site in each shift
 Use vip score tool for prevention of phlebities.
 Check dressing for iv line site.
 Total number of days of iv line.
 Use transparent dressing.
 Use flush technique. Take posi flush and flush
the ven flon slowly and clean the port ,give
medicine again flush the ven flon slowly.
 Use flush tehnique each medicine given before
and afterthat.
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32. I- DECIDED(IVASSESSMENT
& DECISIONTOOL.)
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 IDENTIFY if an iv is in situ: if an IV has been removed in
past 48 hours , observe site for post infusion phlebities.
 DOES patient need the IV? If not used in past 24 hours ,or
unlikely to be used in next 24 hrs, consider removal, consider
change to oral medications.
 EFFECTIVE function? Does the iv infuse and /or flush well?
Follow local policy for flushing and locking.
 COMPLICATIONS at IV site? Pain >2/10, redness>1 cm ,
discharge , infiltration, extravasation , hardness, palpable cord
purulence.
 INFECTION prevention : hand hygiene , scrub the hub & allow
to dry before each IV access careful use of administration sets.
 DRESSING & securement.: clean ,dry, and intact. IV and lines
secure.
 EVALUATE & EDUCATE: evaluate concerns. Educate as
needed. Discuss IV plan with patient & family.
 DOCUMENT your decision: continue to monitor ,document in
file , change dressing / securenent or remove IV.

33.  BIBLIOGRAPHY:
 4TH premium colored edition “TARGET HIGH”
CBS
Muthuvenkatachalam S . ambili M venugopal.
Page no e-43, e-111 (iv cannulation procedure)

Https://www.Slideshare.Net>intravenouscannulati
on
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