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    IV Procedures - Rampung

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    Nilai
    This document provides information on peripheral intravenous (IV) access, including indications, contraindications, complications, and the procedure for starting a peripheral IV. It indicates that peripheral IV access is essential for critically ill patients to enable blood sampling and infusion of fluids and medications. The procedure involves 11 steps: gathering supplies, examining veins, applying/removing a tourniquet, cleansing the site, preparing the needle, inserting the needle into a vein, releasing the tourniquet, attaching a saline lock, ensuring patency by flushing with saline, and stabilizing the IV with tape. Contraindications include situations where extravasation or inadequate flow pose risks, such as with edema, burns, or injuries to extrem

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    IV Procedures - Rampung

    Uploaded by

    Nilai
    48 views7 pages
    This document provides information on peripheral intravenous (IV) access, including indications, contraindications, complications, and the procedure for starting a peripheral IV. It indicates that peripheral IV access is essential for critically ill patients to enable blood sampling and infusion of fluids and medications. The procedure involves 11 steps: gathering supplies, examining veins, applying/removing a tourniquet, cleansing the site, preparing the needle, inserting the needle into a vein, releasing the tourniquet, attaching a saline lock, ensuring patency by flushing with saline, and stabilizing the IV with tape. Contraindications include situations where extravasation or inadequate flow pose risks, such as with edema, burns, or injuries to extrem

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    IV Procedures- Rampung

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    This document provides information on peripheral intravenous (IV) access, including indications, contraindications, complications, and the procedure for starting a peripheral IV. It indicates that peripheral IV access is essential for critically ill patients to enable blood sampling and infusion of fluids and medications. The procedure involves 11 steps: gathering supplies, examining veins, applying/removing a tourniquet, cleansing the site, preparing the needle, inserting the needle into a vein, releasing the tourniquet, attaching a saline lock, ensuring patency by flushing with saline, and stabilizing the IV with tape. Contraindications include situations where extravasation or inadequate flow pose risks, such as with edema, burns, or injuries to extrem

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    48 views7 pages

    IV Procedures - Rampung

    Uploaded by

    Nilai
    This document provides information on peripheral intravenous (IV) access, including indications, contraindications, complications, and the procedure for starting a peripheral IV. It indicates that peripheral IV access is essential for critically ill patients to enable blood sampling and infusion of fluids and medications. The procedure involves 11 steps: gathering supplies, examining veins, applying/removing a tourniquet, cleansing the site, preparing the needle, inserting the needle into a vein, releasing the tourniquet, attaching a saline lock, ensuring patency by flushing with saline, and stabilizing the IV with tape. Contraindications include situations where extravasation or inadequate flow pose risks, such as with edema, burns, or injuries to extrem

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    Definition :

    Indications : By starting a peripheral IV, you gain access to the peripheral circulation of a
    patient, which will enable you to sample blood as well as infuse fluids and IV medications.
    IV access is essential to manage problems in all critically ill patients. High volume fluid
    resuscitation may be required for the trauma patient, in which case at least two large bore
    (14-16 G) IV catheters are usually inserted. All critically ill patients require IV access in
    anticipation of future potential problems, when fluid and/or medication resuscitation may be
    necessary.

    Contraindications : Some patients have anatomy that poses a risk for fluid extravasation or
    inadequate flow and peripheral IVs should be avoided in these situations. Examples include
    extremities that have massive edema, burns or injury; in these cases other IV sites need to be
    accessed. For the patient with severe abdominal trauma, it is preferable to start the IV in an
    upper extremity because of the potential for injury to vessels between the lower extremities
    and the heart. For the patient with cellulitis of an extremity, the area of infection should be
    avoided when starting an IV because of the risk of inoculating the circulation with bacteria.
    As well, an extremity with an indwelling fistula or on the same side of a mastectomy
    (occasionally a problem) should be avoided because of concerns about adequate vascular
    flow.

    Complications : The main complications of an IV catheter are infection at the site and
    development of superficial thrombophlebitis in the vein that is catheterized. It is also
    common for the IV sites to leak interstitially.

    Procedure :
    Step 1: Gather Supplies
    Gather supplies including:
     Tourniquet
     Catheter
     5 ml Normal Saline
     Saline Lock/ piggy back
     alcohol wipe
     4x4 gauze
     tape (not pictured)

    Step 2: Examine
    Examine the individual's veins in the selected area. You want to make sure that they have
    suitable veins for insertion.

    Step 3: Apply Tourniquet


    After examining individuals veins, you are going to apply the tourniquet. Begin by taking
    both sides of the tourniquet with index finger and thumb, followed by crossing sides and
    switching off hands, then tuck front side under second side and tighten. At this point you will
    decide which vein you will use. Once vein is selected, remove the tourniquet.
    Step 4: Cleanse
    Once tourniquet is removed, you are going to cleanse the IV site. This is to prevent bacteria
    and/or infections potentially getting into the bloodstream.

    Step 5: Replace Tourniquet


    After cleansing, replace the tourniquet and prepare for IV insertion.
    Step 6: Prepare Needle for Insertion
    Make sure you are using a new, unopened needle that is still in its sterile package. Remove
    needle from package and ensure that catheter is able to unhook from needle.

    Step 7: Insertion
    Insert needle into the selected vein with opening in the needle facing upwards and wait for
    blood to return into clear cylindrical chamber. Next advance the catheter forward, but not the
    needle. A 4x4 gauze pad will be needed underneath the catheter because excess blood will
    spill out.
    Step 8: Release Tourniquet
    Step 9: Attachment
    Attach the saline lock to the catheter. Ensure that saline lock is in the open position.

    Step 10: Patency


    Insert 5 ml syringe of normal saline into the saline port to ensure that fluids are able to move
    freely through the IV.

    Step 11: Stabilize


    IV should now be stabilized with tape to ensure that it stays in place.

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