Infiltration - generally caused by poor placement of a needle or angiocath of the vessel lumen.

Sign and Symtoms: -Inflammation at insertion site -Blanching and coolness at site -Damp or wet dressing -Slowed or stopped infusion -No back Flow Nursing Intervention: -warm compress -pain scale rating -consult the physician

Embolism (Pulmonary) - Its associated with venous access devices is usually the result of the thrombus that has become detached from the wall of the vein. (Air) - Occur with the insertion of an IV Catheter during manipulation of two catheter or catheter site when the device is remove, or when IV associated with the catheter are disconnected. (Catheter) -The tip of the needle used during the placement of the catheter can shear off the tip of the catheter. Causes:

Intervention: . . Distress .apply pressure for at least 5 minutes ..Tubing disconnected from venous access device or IV Bag.Place the pt.Next container pushes air downline . Hematoma .Unsuccessful Insertion attempts .Little pressure upon removal of the cannula Nsg.Unequal breath sounds .Occurs when there is leakage blood from the vessel into the surounding soft tissue.Empty Solution container . slowly advance the needle to prevent puncturing both vein walls. Causes: .Upon insertion.Discontinue Infusion .Frequent assessment of the insertion site.Coagulation defects .discontinue therapy if edema occurs . .Administer O2 as needed . Sign & Symptomps: .Resp.Notify the physician. . in trendelenburg position on his left to allow air to enter the right atrium & dispense through the pulmonary artery.Sudden vascular collapse .Inappropriate use of torniquet .Weak Pulse Nursing Intervention: .

Fever & Chills .Adm. into the circulation. Caused By: .Is the successful transmission or encounter of host with potentially pathogenic organism.Headache .Failure to maintain aseptic technique . usually a medication. Sign & Symptomps .Klebsiella .Poor Taping .Prolonged Indwelling .Flushed face . medication as prescribed -Monitor VS .Secure all connectors Speed Shock .Malaise Causes: .Systemic Infection .Notify the physician .Rapid introduction of a foreign substance.Staphylococcus Aureus .Pseudomonas Aeruginosa Sign & Symptomps .Immunocompromised Patient Nursing Intervention: .Severe Phlebitis .

Jugular Vein distention . Causes: .Shortness of breath .Tight feeling in chest .Careful monitoring IV flow rate maintain prescribed rate.An excess of fluid disrupting homeostasis caused by infusion at a rate greater the patients system is able to accomodate. rate .Begin infusion of 5% dextrose at KVO -Notify the physician Circulatory Overload .Raise the head of the bed .Administer medication as ordered .Monitor VS .Elevate BP .Irregular pulse .LOC (extreme cases) Nursing Intervention: .Slow the infusion . .Roller clamp loosened to allow run on infusion . .Administer O2 as needed .Use of IV pumps when indicated.Flow rate too rapid .Stop infusion .Miscalculation of fluid requirement Sign & Symptoms: .Increase resp.Edema Nursing Intervention: ..Bounding pulse .

Notify the Physician ..

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