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IV INFUSION IV INFUSION TECHNIQUETECHNIQUE
PRPEARED BY: SALWA MAGHRABI
CLINICAL INSTRUCTOR
OutlinesOutlines
Preparing Intravenous Solution1. Assessment 2. Equipments3. Implementations4. Evaluations.5. Documentations. Venipuncture and Starting an Intravenous
Infusion1. Assessment2. Equipments.3. Implementations.4. Evaluations. 5. Documentations.
OutlinesOutlines
Caring of Patient with Venous Access Device 1. Site Care2. Canula care and flushing.Discontinuing an Intravenous Infusion1. Assessment2. Equipments 3. Implementations.4. Evaluations.5. Documentations.
ObjectivesObjectives
Prepare intravenous fluid.Produce venipuncture and starting an
intravenous.Provide care for patient with venues
access. Discounting an intravenous infusion.
PREPARING INTRAVENOUS
SOLUTION
PREPARING INTRAVENOUS SOLUTION
Assess : Medical Record
Solution.
Read label on solution at least 3 times
Type , Volume and Length of fluid
therapy.
Risk of infection.
Bag or bottle .
Gravity or infusion set.
PREPARING INTRAVENOUS SOLUTION CONT’
Equipments :
IV line set
Non – Sterile gloves
IV holder
IV Fluid
PREPARING INTRAVENOUS SOLUTION VIDEO
PREPARING INTRAVENOUS SOLUTION CONT’
Evaluation1. Solution and tubing are properly labeled .2. Tubing has been purged of air.
Documentation1000 mL of 5% D/W infusion at 125 mL / hr through IV in L hand.
VENIPUNCTURE AND STARTING AN
INTRAVENOUS INFUSION
VENIPUNCTURE AND STARTING AN INTRAVENOUS
INFUSION
Assessment :1.Check the client ID.2.Review patient medical record .3. Inspect and palpate several potential
site .
PROCEDURE :
Equipment :1- Tourniquet .2- Disposable gloves .3- Antiseptic swab ( alcohol swab ) .
CONT’ EQUIPMENT:
4- Cannula .5- Normal saline solution. 6- Tap .7- Transparent IV dressing.8- Three way stop cock.
INSERTION INTRAVENOUS CANULA VIDEO
INSERTION INTRAVENOUS CANULA
Preparatory Phase1.Prepare the equipment .2.Hand washing .3.Explain the procedure to the patient.4.Maintain the patient privacy.5.Select a site for insertion .6.Apply tourniquet 2 or 4 inch above the
vein.
INSERTION INTRAVENOUS CANULA
Preparatory Phase7. Clean the skin with alcohol swab. 8. Don clean gloves.
INSERTION INTRAVENOUS CANULA
Implementation phase 7.Use thumb to starch & stabilize the
vein.8.Position the canula with the bevel up
and 45 angle.9.Warn the client just before insertion .
INSERTION INTRAVENOUS CANULA
Implementation phase 7.Advance the cannula 0.5 to 1.5 cm in
to the vein . 8.Feel for a change in resistance and
look for blood back flow in the canula .
INSERTION INTRAVENOUS CANULA
Implementation phase 7. Once the blood is observed advance
the needle about 1/8 to ¼ inch .8. Withdraw the needle slightly .9. Slid the catheter into the vein .
INSERTION INTRAVENOUS CANULA
Implementation Cont’:12.Release the tourniquet .13.Apply pressure over the internal tip of
the catheter .14.Remove the protective cap over the
end of the IV tubing and insert it into the end of the canula .
INSERTION INTRAVENOUS CANULA
Implementation Cont’:12.Release the roller clamp and begin
infusing solution slowly.13.Secure the canula by criss-crossing a
piece of tape from beneath the tubing .
INSERTION INTRAVENOUS CANULA
Implementation Cont’:17.Cover the entire site with additional strips
of tap.18.Write date, time, gauge of the catheter
and your initial sig.19.Start IV fluid infusion on the ordered rate.
INSERTION INTRAVENOUS CANULA
Evaluations :1.A flashback of blood was observed
before advancing the canula.2.Minimal discomfort and blood loss
occurred.3.Fluid is infused at the prescribed rate.
INSERTION INTRAVENOUS CANULA
Documentation# 20 gauge canula inserted into L hand
1000 ml 0.9% saline infusing at 42 cc/hr.
CARING OF PATIENT WITH VENOUS ACCESS DEVICE
CARING OF PATIENT WITH VENOUS ACCESS DEVICE
Site Care1.Use strict aseptic technique.2.Frequency of dressing change may
vary from every 3-7 day. 3.Assess the site for any redness,
swelling, tenderness, or drainage.4.Follow agency protocol for cleaning
solution and type of dressing.
CARING OF PATIENT WITH VENOUS ACCESS DEVICE
Site Care5.Clean the port and 2 inches in
diameter around the site with alcohol swab .
6.Secure the canula and cover the external site of IV line with hip lock.
7.Provide routine care for insertion site tell is heal after removing the canula.
CARING OF PATIENT WITH VENOUS ACCESS DEVICE
Canula care and flushing: 1.Change the canula every 3 or 7 days.2.Flush the catheter with normal saline.3.Assess the catheter every shift.
CARING OF PATIENT WITH VENOUS ACCESS DEVICE
VIDEO
DISCONTINUING AN INTRAVENOUS
INFUSION
DISCONTINUING AN INTRAVENOUS INFUSION
Assessment :1.Doctor order to disconnect the IV
infusion.2.Check the client identity.
Equipment :1.Non – sterile gloves.2.Gauze 3.Adhesive tape4.Alcohol swab
DISCONTINUING AN INTRAVENOUS INFUSION VIDEO
DISCONTINUING AN INTRAVENOUS INFUSION
Procedure: 1.Wash hand.2.Clamp the tubing and remove the tape
that hold the dressing and venipuncture device in place.
3.Don gloves.4.Press a gauze square gently over the
puncture site .
DISCONTINUING AN INTRAVENOUS INFUSION
Preparation Phase :5.Remove the catheter or needle .6.Apply pressure to the site of
venipuncture for 30 to 45 second.7.Secure the gauze with tape.8.Dispose the canula in a sharp container.9.Enclose a canula used for venipuncture
within gloves as they are removed.
DISCONTINUING AN INTRAVENOUS INFUSION
Preparation Phase :10.Wash hand.11.Encourage the client to flex and
extend the arm or hand several time.
DISCONTINUING AN INTRAVENOUS INFUSION
Evaluation:1.Site appears free of inflammation.2.Bleeding is controlled.3.Discomfort is minimized.4.Equipments is disposed .
DISCONTINUING AN INTRAVENOUS INFUSION
Documentation :Infusion of ringer lactate discontinued per
physician's order following administration of 1000 ml/hr, # 22 gauge removed from left hand. No redness , swelling, or drainage evident of venipuncture, venipuncture is covered with sterile dressing.
SummarySummary
Thank you for your attention