Question

Inserting an IV

ws.com response-cache-control-private%2C%20max-age%3D21600&response- ACTIVE LEARNING TEMPLATE: Nursing Skill STUDENT NAME SKILL NAME How to start and IV for nurses REVIEW MODULE CHAPTER Description of Skill Indications CONSIDERATIONS Nursing Interventions (pre, intra, post) Outcomes/Evaluation Client Education Potential Complications Nursing Interventions

Answer 1

#. Intravenous administration

Three methods:

-as mixtures within large volumes of IV fluids

-by injection of a bolus or small volume of medication through an existing IV infusion line or intermittent venous access (heparin or saline lock) called IV push

-by piggyback infusion of a solution containing the prescribed medication and a small volume of IV fluid through and existing IV line

Advantages

-emergencies

-to establish constant therapeutic blood levels

-less irritating method for highly alkaline medication irritating to muscle or SQ tissue

#. Safety

Know you agency policies regarding who can give IV medications and situations which they may be given

Know action, onset/peak/duration, common adverse reactions

Correct calculations, double check

Six rights of medication

Know if there is an antidote, how to obtain it and give it

Know what you need to assess before, during, after the intervention

Know compatibilities (IV fluids, other medications)

Know drug interactions

Know if you need to flush before or after medication administration

When giving IVPB or bolus know the infusion rate

When giving IV push know if it must be diluted first before administering medication

#. Purpose of IV administration

Medication administration

Fluid replacement (crystalloids, colloids)

Electrolytes

Nutrition (e.g. Partial parenteral nutrition, total parenteral nutrition, lipids)

Blood and blood products

#. Nursing interventions :-

Strict aseptic technique

Verify medication calculation when preparing medication

Know if the medication is compatible with the IV solution

Clean the injection port of the IV bag

Remove the cap from the needle, and stick the needle into the IV fluid

Push the medication into the IV fluid, remove needle from port and place into sharps container, mix the solution by turning IV bag gently end to end

Attach a medication label in accordance with Institute for Safe Medication Practices (ISMP) safe label guidelines

-patient name, generic name, patient dose, route, dilutents, total volume location

Administer the medication to the patient at the prescribed rate, assess IV site during infusion and assess patient response to treatment

Do not add medications to IV bags that are already hanging

Add medications only to the new IV bags

#. Client education :-

Carefully assess patients and their families to determine their ability to manage this therapy at home

Begin instruction on IV care management while the patient is still in the hospital. Tach patient and family:

-to recognize signs of infection and complications

-when to notify health care provider

-regarding maintenance of the equipment

#. Complications :-

Extravasation

Infection

Air embolism

Thrombophlebitis

Phlebitis

Hematoma

Allergic reaction

Circulatory overload