IV PRIMING &

TERMINATION
• Intravenous is a common practice in
the hospital today.
• It is an efficient and effective method
of supplying fluids directly into the
extracellular fluid compartment.
• Parenteral fluid therapy is ordered by
the physician.
• The nurse is responsible for
administering and maintaining the
therapy.
OBJECTIVES OF INTRAVENOUS
THERAPY
• To supply fluids when patients are unable
to take adequate fluids by mouth.
• Commonly available by 250,500 and 1000
ml. bottles or bags.
• To provide salts needed to maintain
electrolyte balance.
• To provide glucose (dextrose), the main
fuel for metabolism.
• To provide some water – soluble vitamins
such as vitamin B and C or other drugs
intravenously.
 EQUIPMENTS
• ANTISEPTIC SWABS
• TOURNIQUET
• RECEPTACLE FOR DISCARDED FLUID
• ADHESIVE TAPE
• STERILE PARENTERAL SOLUTION
• INTRAVENOUS SET
• INTRAVENOUS STAND
• TOWEL OR PAD TO PLACE UNDER THE
PATIENT’S ARM
• ARM SPLINT ( AS REQUIRED)
• GAUZE SQUARES OR OTHER
APPROPRIATE DRESSING
• CLEAN GLOVES
Tubing
Fluids
Dressings
 Tourniquets
• Tourniquet Use
– Reusable vs.
Disposable
– Double Tourniquets
– Blood Pressure Cuffs
• Different type of
pressure
– Towel Method
• Better for your
patients
– Large, Superficial
Veins
• Tourniquets may
actually cause the vein
to blow
Needles
Labels
• IV Labels
– Always label your
lines when you
change or start them
– Always label your
tubing, especially
when multiple lines
• i.e. NSS ; Insulin ;
Cardizem
 MAINTAINING THE IV INFUSION
• Explain the procedure and equipment to the
patient and teaching the patient.
• Give comfort and assistance with
activities of daily living throughout the
therapy.
• Observing the possible complications
• regulating the flow rate.
 FACTORS INFLUENCING FLOW
RATES
• Position of the forearm
• Position and patency of the tubing. Not infrequently,
the tubing is obstructed by the patient’s weight, by a
kink or by a clamp closed tightly. The flow rate also
diminishes when part of the tubing dangles below the
puncture site.
• Height of the infusion bottle. Elevating the height of
the infusion bottle a few inches can speed the flow
by creating more pressure.
• Possibility of infiltration or fluid leakage. Swelling ,a
feeling of coldness, and tenderness at the
venipuncture
 PRIMING
• PREPARE THE INFUSION EQUIPMENT
• Open the administration set and maintain the sterility
of the ends of the tubing.
• slide the tubing clamp along the tubing (2-5cm) or
1-2inches until it is just below the drip chamber.
• close the clamp
• If using an intravenous bottle with a rubber stopper,
remove the metal disc. Swab the protective stopper
with disinfectant. Remove the cap from the tubing,
then insert the spike firmly through the rubber
stopper into the port, maintaining sterile technique.
• Hang the solution container on the rod, usually about
1 meter ( 3 ft.) above the patient’s head.
• If using a flexible drip chamber, squeeze gently until it
is half full in solution.
• To prime the tubing, remove the protective cap and
hold the tubing over a cup or basin. Maintain sterility of
the end of the tubing and the cap. Release the clamp
and let the fluid run through the tubing until all bubbles
are removed. Tap the tubing with your fingers to help
the bubbles move out.
• Reclamp the tubing
• Replace the tubing cap, maintaining sterile technique.
• Hang the tubing on the stand.
• Label the solution container, applying the label upside
down on the container , include the following
information: patient’s name, identification number, bed
number, dosage and absorption time, drip rate, the
date, the time the container is hung, and the container
number. The label is applied upside down so it can be
readily read when the container is hanging up.
 TERMINATION
• Wear Disposable Gloves
• Close the clamp
• Remove the tapes and dressing in the same manner
as for the daily infusion changes.
• Place sterile gauze pad over the venipuncture site
and with the other hand, withdraws the catheter
needle by pulling straight back away from the
puncture site.
• Wipe using gauze with water around the site to
remove dried blood.
THANK YOU!