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Intravenous (IV) Cannulation Is A Common Medical Procedure in Which A Thin Plastic Tube Called A Cannula Is Inserted Into A Vein To Provide Access For Medications, Fluids, or Blood Products

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Intravenous (IV) cannulation is a common medical procedure in which a thin plastic tube called

a cannula is inserted into a vein to provide access for medications, fluids, or blood products.
The procedure is typically performed by a trained healthcare professional, such as a nurse or a
doctor, and can be done in various settings such as hospitals, clinics, or in the field by
paramedics.

Here are the general steps for IV cannulation:

Assess the patient's medical history and obtain informed consent.


Choose an appropriate vein for cannulation. The veins most commonly used are those in the
back of the hand or the arm.
Clean the area around the vein with an antiseptic solution and allow it to dry.
Apply a tourniquet above the site to increase blood flow and make the vein more visible.
Insert the cannula into the vein, taking care to avoid piercing through the vein.
Once the cannula is in the vein, release the tourniquet and check for blood return in the
cannula.
Connect the IV tubing to the cannula and secure it in place with tape.
Start the flow of fluids or medication at the prescribed rate, monitoring the patient for any
adverse reactions.
When the IV is no longer needed, remove the cannula and apply pressure to the site to prevent
bleeding.
Dispose of the cannula and other medical waste appropriately.
It's important to note that IV cannulation carries some risks, such as infection, bleeding, and
infiltration, which can occur when the fluid leaks into surrounding tissue. Therefore, healthcare
professionals must follow strict protocols for infection prevention and use sterile equipment to
minimize the risk of complications.

Prepare for the procedure: Ensure that you have all the necessary supplies, including the IV
catheter, sterile gloves, antiseptic solution, tourniquet, sterile gauze, adhesive tape, and IV
tubing.

Explain the procedure to the patient and obtain informed consent.

Identify the site for cannulation: The most common sites for cannulation are the veins on the
back of the hand, forearm, or antecubital fossa (the bend of the elbow).

Cleanse the site with antiseptic solution: Use an antiseptic solution such as chlorhexidine or
povidone-iodine to clean the site thoroughly, beginning at the insertion site and moving outward
in a circular motion.

Apply a tourniquet: Place a tourniquet above the site to occlude venous flow and distend the
vein, making it easier to locate and access.
Insert the catheter: Hold the catheter at a 10-30 degree angle to the skin and insert it into the
vein bevel up (with the bevel facing upward) until you see a flash of blood in the catheter hub.
Lower the angle of the catheter and advance it further into the vein while slowly withdrawing the
needle.

Stabilize the catheter: While holding the catheter in place with one hand, remove the needle
with the other hand and use a sterile gauze to apply gentle pressure over the site to prevent
bleeding. Then, use adhesive tape to secure the catheter in place.

Connect the IV tubing: Once the catheter is secure, connect the IV tubing to the catheter hub
and remove the tourniquet. Open the flow regulator and adjust the infusion rate according to the
physician's orders.

Observe the site for complications: Observe the IV site regularly for signs of complications such
as swelling, redness, or pain.

Remove the catheter: Once the IV is no longer needed, remove the catheter by gently pulling it
out while holding pressure over the site with sterile gauze.

Dispose of the catheter and other supplies in a sharps container, and discard other medical
waste appropriately.

It is important to follow proper infection control procedures throughout the IV cannulation


procedure to minimize the risk of infection or other complications.

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