IVs and Nursing School
Nursing Students must learn how to infuse IVs with accuracy & precision. IV Administration topics include: calculating infusion rate. infusing drops/minute or ggts/minute, mL/hour, understanding saline types- hypotonic, hypertonic, NS, and lactated ringers; in addition to central, & peripheral lines, assessing the IV site for infiltration, phlebitis, and patency.
A basic intravenous (IV) setup includes tubing to deliver basic IV fluids via the client's venous access. Also shown are the access port on the tubing, used for injection of small amounts of medication by syringe (below) and the access port used for piggyback administration of larger amounts of medication (above). These needleless ports prevent needlestick injuries to staff. (Blood and total parenteral nutrition [TPN] are administered through a different type of IV tubing.
Intraosseous (IO) access video. IO is used when peripheral access is not possible or when multiple IV injections are needed. Citation: VidaCare, (August 25, 2010). The EZ-IO® Intraosseous Infusion System Training. Retrieved from www.youtube.com/...
Classifying phlebitis, an inflammation of the vein & common complication of peripheral I.V. therapy. Journal article citation: Lippincott Nursing. (2007). I.V. essentials: Complications of peripheral I.V. therapy. Nursing Made Incredibly Easy! 6(1), 14-18. Retrieved from www.nursingcenter...
Journal article on I.V. therapy: great info on common complications, including hypersensitivity reactions, infiltration, extravasation, phlebitis, & infection. Citation: Lippincott Nursing. (2007). I.V. essentials: Complications of peripheral I.V. therapy. Nursing Made Incredibly Easy! 6(1), 14-18. Retrieved from www.nursingcenter...
How to start an IV...Like a PRO.
IV Solution Chart: Hypotonic, Isotonic, and Hypertonic Solutions. The tonicity of the solution impacts the cells. Hypotonic solution causes excess H2O to enter the cell, potentially causing the cell to lyse. Hypertonic solution causes H20 to leave the cell, leading to flaccidity. Isotonic promotes fluid balance between the intracellular and extracellular area.
Power Port (purple, heart shaped) sits under skin on upper chest. It's accessed by a Huber needle (w/yellow wing locks). Left: Tube runs inside a blood vessel; in my case it goes from my jugular vein down to my superior vena cava. Right: This tube sits outside the body, and allows easy infusions. The lower connector (blue) enables infusions from syringes. The upper connector (also blue) enables infusions from IV bags.
What is drug reconstitution? This refers to the mixing of a drug with a diluent (such as normal saline). Pictured is the Mix2Vial™: this is an atypical needleless system for drug reconstitution. Generally, this process involves drawing up the diluent with a needle & injecting it into the powered drug (often preserved through a method known as "lyophilized').
Tegaderm I.V. Dressings: provides simplicity of I.V. application, security of intravenous fixation and site protection. Added features ensure the cannula remains in place thus reducing the risk of phlebitis and patient discomfort. They are often removed with the help of alcohol wipes by nurses.
Vascular Infusion Systems What is an infusion system? An infusion system is the process by which an infusion device and any associated disposables are used to deliver fluids or drugs in solution to the patient by the intravenous, subcutaneous, epidural or enteral route.
Hanging label for IV infusion bottles: using a multi-layered design, Schreiner MediPharm’s new Pharma-Tac Plus label for infusion bottles allows ample space for pertinent information, helps ensure reliable documentation, and easily hangs to assist bedside caregivers.