SISTER NIVEDITA GOVT.

NURSING COLLEGE
I.G.M.C. SHIMLA

SUBJECT- NURSING EDUCATION

TOPIC- INTRAVENOUS INJECTION
SUBMITTED TO: SUBMITTED BY:
MRS. SHASHI KIRAN PRIYANKA SHARMA
C.I. CUM SISTER TUTOR ROLL NO. 13
SNGNC, IGMC, SHIMLA MSC NURSING 1st YEAR
SNGNC, IGMC, SHIMLA
SUBMITTED ON:
23-11-2019
 IDENITIFICATION DATA
Name Ms. Priyanka Sharma

Class MSc Nursing 1st year

Subject Nursing Education

Topic Intravenous Injection

Duration of Teaching 1 hour

Place BSc Nursing 1st year Classroom

Students BSc Nursing 1st year

Name of Evaluator Mrs. Shashi kiran

Date of Submission 25-11-2019

Method of Teaching Lecture cum Discussion

A.V. Aids Power point presentation, Whiteboard, Chart, Flash cards and Transparency

Previous Knowledge Students have some previous knowledge regarding topic “I.V. Injection”
GENERAL OBJECTIVES:
At the end of the teaching, students will be able to explain about the “ intravenous injection”

SPECIFIC OBJECTIVES: Students will be able to:

 Introduce the topic.
 Define the intravenous injection.
 Enlist the purposes of intravenous injection.
 Explain the indication of intravenous injection.
 Explain the contraindication of intravenous injection.
 Explain the principle of administering intravenous injection.
 Explain the preliminary assessment of intravenous injection.
 Describe the articles and procedure of intravenous injection.
 Describe the side effects of intravenous injection.
 Describe the disadvantages of intravenous injection.
 Explain the complication of intravenous injection.
 Explain the after care and special consideration of intravenous injection.
SR.NO. TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
OBJECTIVES LEARNING
ACTIVITY
1 30 sec To introduce SELF INTRODUCTION: Verbal - -
myself. Good morning. My name is priyanka Sharma student explanation
of M.Sc Nursing 1st year. Today, I am going to present
my topic on “intravenous injection”
2 1 min To assess the ASSESSMENT OF PREVIOUS KNOWLEDGE Verbal - -
previous  Define i.v. injection? discussion
knowledge of  What are the purposes of i.v. injection?
students  What are the indications of i.v. injection?
3 1 min To introduce INTRODUCTION Explaining Whiteboard What do you
about the topic Injection is the act of putting a liquid especially a drug understand by
into a person body using a needle and syringe. the introduction
Injection is a technique for delivering drugs by of iv injection?
parenteral administration.The intravenous route is the
fastest way to deliver medications and fluid
replacement throughout the body, because they are
directly introduced into circulation.
4 1min To define the DEFINITION Explaining PPT What do you
intravenous Injection of fluid directly into a vein . Allow larger mean by
injections amount of fluid to be administered and provide means intravenous
for rapid absorption of medication. injection?
5 2min To know the PURPOSE Explaining OHP What are the
purpose of  Rehydration after becoming dehydrated from purposes of
intravenous illness. intravenous
injection  Treatment of an infection using antibiotics. injection?
 Cancer treatment through chemotherapy drugs.
 Management of pain using certain medication.
6 3min To know the INDICATION Explaining PPT What are the
indication of  Repeated blood sampling. indications of
intravenous  IV administration of fluid. intravenous
injection  IV administration of medications. injection?
 IV administration of chemotherapeutic agents.
SR.NO. TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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 IV nutritional support.
 IV administration of blood or blood products.
 IV administration of radiological dyes.

7 5min To know the CONTRAINDICATION Explaining PPT What are the

contraindication  Infected skin contraindication
of intravenous  A vein proximal to a running venous infusion of intravenous
injection. should not be used for venous blood sampling injection?
 Venipuncture and venous cannulation of veins
in an extremity with an arteriovenous fistula
should be avoided.
 Veins in the upper extremity that may be
needed for
 Veins in the upper extremity that may be
needed for arteriovenous fistula construction
for hemodialysis in near future should not be
punctured unless absolutely necessary.
 Scarring of the vein may complicate surgical
procedures.
 All catheters are potentially thrombogenic.
They should be left in place only as long as
needed
8 3min To know the SITES Explaining PPT What are the
sites of  Cephalic vein sites of iv
intravenous  Basilic vein injection?
injection  Median vein
 Metacarpal vein
SR.NO. TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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9 2min To know the PRINCIPLES Explaining charts What are the
principles of  Right patient. priniciple of
intravenous  Right drug. intravenous
injection.  Right dose. injection?
 Right route.
 Right time.

10 12min To know the PROCEDURE Explaining PPT What is

procedure of iv  STEP 1: Gather your Equipment! procedure of iv
injection. You Absolutely Need: injection?
♦ Antiseptic solution
♦ Gloves
♦Tourniquet
♦ Peripheral short catheter
♦ Sterile 2x2 gauze pads or a sterile,
transparent, semi-permeable dressing
♦ 1" non-allergenic tape (if applying a gauze
dressing)
♦ Sterile tape or sterile surgical strips or a
manufactured securing device
♦ Flush solution (.9% sodium chloride, 20
milliliter vial, preservative-free
♦ Flush syringes (3-5 milliliter size)
♦ Sharps container
♦ IV solution with attached, primed tubing (if
ordered) or an already primed saline or heparin
lock
♦ IV pole (for administration of fluids or IV
medications if needed)
SR.NO. TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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 STEP 2: Select Your Device!
Consider This:
♦ Your choice of cannula should be of the
smallest gauge that will accommodate the
prescribed therapy. This will allow for
sufficient blood flow around the cannula.
♦ Only one device should be utilized for each
attempt.
♦ Stylets shall never be reinserted into the
cannula when attempting IV access.
♦ Facilities may have different guidelines
regarding which type of access device they
prefer.
 STEP 3: Position the Patient's Arm!
Consider this:
♦ Dependent positions increase capillary refill
and may increase the likelihood you will be
successful in inserting the IV.
♦ For cold skin, warm it by rubbing or stroking
the skin or applying warm packs for 5-10
minutes as needed
 STEP 4: Apply the Tourniquet!
 Apply 6" above insertion site to dilate the
vein.
 Check for distal pulse. (If no pulse,
remove tourniquet and reapply as not to
occlude the arterial blood flow.)
SR.NO TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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 Lightly palpate vein with your index and
middle fingers, while stretching it to
prevent rolling.
 STEP 5: Select Your Insertion Site!
Consider this:
♦ Use a vein in the non-dominant arm if
possible
♦ Use smallest catheter possible for anticipated
needs
♦ Save antecubital for emergencies if possible
♦ Use most distal sites so you can move
proximally as needed
 STEP 6: Prepare the Site!
 Wash Your Hands!
 Put on gloves.
 Wash the insertion site with soap and
water if visibly soiled.
 Clean the site.
 STEP 7: Venipuncture Itself!
 Confirm the integrity of the product and insert
the device always per manufacturer guidelines.
 Warn the patient that you are ready to insert
the IV.
 Insert the device
 STEP 8: Secure the Device!
 Use sterile tape or sterile surgical strips to
secure the hub of the cannula to the skin, so
that the device is secure, but the tape does not
obscure the insertion site.
SR.NO TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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 If using a.manufactured stabilizing device,
follow the manufacturer’s instructions for
securing the IV
 STEP 9: Dress the Site!
The site may be dressed by either using a gauze
dressing or a transparent semi-permeable
membrane dressing such as Opsite
 STEP 10: Flush the Device!
After the dressing is applied, secure connection
junctions and flush the site with saline or
heparin per facility policy if IV fluids are not
initiated.
11 3min To prepare PREPARING MEDICATION FROM VIAL & Explaining PPT How to prepare
medication AMPULE medication from
from vial and  Clean the stopper with alcolhol sponge. vial and ampule?
ampule  With dominant hand, pick up the assembled
needle and syringe with air equal to the amount
of medication.
 With the free hand, pick up and invert the vial
and then insert the needle into the rubber
stopper
 Slowly draw the plunger of the syringe until
slightly more than the amount of medication
prescribed in the doctor order has been drawn
into the syringe.
12 5min To know the AFTERCARE Explaining PPT What are the
aftercare of  Prevention of extravasation aftercare of iv
intravenous  Maintain iv line patency injection?
injection
SR.NO TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
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 Protect integrity of catheter
 Protect from infection
 Protect from air emboli
13 3min To know the SIDE EFFECTS Explaining Flash card What are the side
side effects of  Infection effects of
intravenous  Air embolism intravenous
injection  Blood clots injection?
 Damage to blood vessel and injection site
14 3min To know the DISADVANTAGES Explaining PPT What are the
disadvantages  Require a functioning cannula disadvantagesof
of intravenous  More expensive and labour intensive than other iv injection?
injection routes.
 Cannulation is distressing to some patients,
especially children
 Cannulae are prone to infection
 IV injection of drugs may cause local
reactions
15 5min To know the COMPLICATION Explaining PPT What are the
complication of  Phlebitis is the inflammation of a vein. If it is complication of
intravenous associated with clot formation as well it is iv injection?
injection known as thrombophlebitis. Signs and
symptoms of phlebitis include redness,
swelling, pain, and edema at the insertion site
and/or along the vein. It is often caused by
poor blood flow.
 Extravasation occurs when the venipuncture
device is dislodged from the vein.
SR.NO TIMING SPECIFIC TEACHING A.V. AIDS EVALUATION
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 Hematomas occur when blood leaks into the
extravascular space. The patient will have
tenderness at the site, a bruise may be evident
at the site, and the infusion will not flow.
 Thrombosis occurs when the platelets adhere
to the tunica intima of the vein due to vessel
injury during venipuncture. The vein will
appear painful, red and swollen
 Occlusion occurs when fluid or medication
cannot enter the vein
 Vein irritation occurs due to solutions with
high or low pH and high osmolarity (such as
potassium chloride, phenytoin, vancomycin,
erythromycin, and nafcillin).
16 3min To know the SPECIAL CONSIDERATION Explaining PPT What are the
special  Preplan as much as possible. special
consideration  Use aseptic technique consideration of
 Understand the associated risks iv injection?
 Know how to deal with the risk
 Evaluate patient factor
 Avoid unnecessary interference with the line
17 2min To conclude the CONCLUSION Explaining PPT -
topic Injection is the act of putting a liquid especially a drug
into a person body using a needle and syringe.
Injection is a technique for delivering drugs by
parenteral administration.
SR.NO TIMING SPECIFIC CONTENT TEACHING A.V. AIDS EVALUATION
OBJECTIVES LEARNING
ACTIVITY
18 1min To make it easy BIBLIOGRAPHY Explaining PPT -
for reader to  Kozier and erb. Fundamental of nursing. 9nd
find out more ed. New Delhi: Jaypee Brothers Medical
topic. Publishers (P) Ltd. 2009 Pp-399-401.
 Gowda SN. Fundamental of nursing. 2nd ed.
New Delhi: Jaypee Brother Medical Publishers
(P) Ltd. 2009: 343-344
 Perry and potter. Fundamental of nursing.3rd
ed.Jaypee brother(P) Ltd 2013:345-347
 www.wikipedia.com
 www.slideshare.com
 www.scribd.com