Question

Can someone please help me, I will do thumbs up for complete and right answer. Can someone please tell me the description of the skill IV insertion and Fluid intiation. The indications for IV insertion and fluid initiation. The nursing intervention (pre,intra,and post) for IV insertion and fluid intiation. The outcome/evaluations for IV insertion and fluid intiation and finally client education of IV insertion and fluid intiation.

Answer 1

ANSWER

Description of IV insertion and fluid initiation.

         * It is process of puncturing a vein with a needle and administration

           of fluid into the blood stream through a intravenous catheter.

Indication of IV insertion and fluid initiation.

       * It help to administer fluid and electrolytes to maintain fluid electrolyte

            balance.

         * For providing glucose which is necessary for metabolism.

         * To give vitamins and minerals.

         * For emergency fluid replacement in life threatning conditions.

         * To administer emergency drugs and blood products.

Nursing interventions.

        * Pre procedure.

             * Check physicians order for IV insertion and fluid initiation and

                explain procedure to the patient.

             * Washing hands before selection of puncture site for IV insertion.

             * Looking for veins that are comparatively straight with enough length

                to insert IV cannula. ( common sites are inner arm,dorsal surface

                of hand and dorsal surface of foot.)

             * Apply tourniquiet 6 to 8 inches above the veinpuncture site and promote

               patient to clench the fist to dilate vein for make insertion of needle easy.

             * Wear gloves and clean the selected venipuncture site using aseptic swab

               from center to outward in a circular motion to reduce microorganisma on the

               insertion site.

        * Intra procedure.

             * Pull the skin taut below the entry site using non dominant hand to stabilize vein

               for needle entry.

             * Place catheter 15 to 30 degree angle with bevel up and insert catheter through

               into the vein in one thrust.

             * When blood is seen in the lumen and lack of resistance is felt then reduce the

                angle of catheter and position parallel to the skin and advance the catheter and

                needle to 2cm after loosen tourniquet.

             * Remove the needle from inside of the angiocath completely and attach IV tube

                after flush with sterile solution as required.

             * Use adhesive tapes to tap the cathetet by place one strip with sticky part under

                catheter hub then the second strip sticky part side down over catheter hub and

                the third strip sticky part side down over catheter hub.

             * Put label on the venipuncture site as per hospitals policy.

    * Post procedure.

             * Remove gloves and wash hands to reduce risk of infection.

             * Discard all soiled articles as per agencies policy.

             * Documentation of procedure in the nurses record.

Outcome / evaluation for IV insertion and fluid initiation.

   * Evaluate the patency of IV cannula by observe the

                IV infusion site and infusion flow.

             * Evaluate for swellig,colour change,inflammation and

               leakage from the insertion site.

   Client education of IV insertion and fluid initiation.

            * Instruct the patient to keep the Iv inserted hand steady during

              administration of IV fluids to maintain proper flow of solution.

             * Educate the patient about signs of misplacement of IV cannula

               like swelling,redness,pain during IV flow and sudden changes in

               flow rate.

             * Instruct patient to inform health care provider if any changes happen

               in the insertion site and flow rate.