IV Therapy

IV THERAPY
NURSING 1201
2010
Terminology
• Phlebitis
– Inflammation of vein
– Pain, tenderness along vein
– Inflammatory swelling and acute edema below obstruction
– Fever
• Infiltration
– Inadvertent administration of non-vesicant/irritant medication/solution into
surrounding tissue
• Extravasation
– Inadvertent administration of vesicant medication/solution into surrounding
tissue
• Vesicant
– Any agent with potential to cause blistering or tissue necrosis
2
Maintenance of IV Site
• Identify client
• Cleanse hands
• Assess IV site:
– Patency
– Dressing clean, dry, intact and labeled
– Palpate and inspect
– Peripheral pulse and capillary refill
3
Patency
• Flushes readily
• Free of tenderness/redness or swelling, etc.
• Circulation is adequate to extremity
• May need to remove dressing if tenderness at
insertion site or fever for complete assessment
4
Dressing
– Clean, dry, intact and labeled (date, time,
catheter size, and initials of person who applied
dressing)
– Catheter should be secure to prevent movement
that can cause mechanical phlebitis
5
Palpate and Inspect
• Free of tenderness, redness, swelling ( compare to
opposite extremity)
• No streak formation, palpable cord or purulent
drainage
• Phlebitis or infiltration require removal of catheter
– Peripheral pulse and capillary refill
6
Assess IV System
• Type of solution
• Rate of administration
• Amount remaining to be infused
• Patency of IV tubing
• No precipitation noted in tube
• All connections are tight and there is no
leaking of solution
• If on pump, pump is working properly
7
Dressing Change
– Wash hands and assemble equipment
– Secure catheter and remove old dressing carefully
– Cleanse skin with alcohol and let dry
– Apply tape to secure IV cath
– Apply transparent dressing over entire site
– Label dressing with date of IV start, size of
catheter, date of dressing change and your initials
8
Tubing Change
• Wash hands and assemble equipment

• Prime IV tubing while maintaining sterility of
system
• Connect end of tubing to hub of catheter and
secure connections.
• Label tubing with date to be changed or date
changed
• Regulate drip rate
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12/09/21 9
RIGHTS RESERVED.
Site Change/Discontinuation
• Wash hands and assemble needed equipment
• Don gloves
• While securing catheter, remove tape and
dressing. Do not use alcohol ( it will increase
bleeding at the site)
• Remove catheter and apply pressure. Apply
dry sterile dressing and tape.
. 10
Troubleshooting
IV pump beeps, occlusion or gravity drip is not
dripping properly, assess:
• Signs/symptoms of problems at site
• Tubing for kinks, closed clamp or patient lying
on tubing
• Positional IV, apply arm board if needed
• Blood backing up in tubing
• Ability to flush easily
11
Complications
• Phlebitis
1.Remove entire IV: restart IV

preferably in opposite extremity if
possible
2.Apply moist warm compresses to
site for 20 min at a time to provide
comfort
3.Notify MD if Grade 3 or 4 phlebitis
4.Perform ongoing observation and
assessment of site 12
Infiltration
1.Discontinue infusion immediately upon
observation of infiltration
2.Elevate extremity
3.Apply warm compresses to aid in
reabsorption
4.Perform ongoing observation and
assessment of infiltrated site
5.Notify physician if infiltration is Grade 2,
3, or 4
13
Extravasation
1.Stop infusion immediately
2.Determine treatment prior to removal of catheter –
may need IV access to administer antidote to site.
Check with MD or pharmacy
3.Administer prescribed antidote immediately, if
indicated.
4.Elevate extremity
5.Apply ice for 20 min q 4 hrs when indicated
6.Notify MD
7.Don’t use same extremity for subsequent IV cath
placement if possible
8.Extravasation should always be rated a Grade 4 on the
infiltration scale (SMMC)
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RIGHTS RESERVED.
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RIGHTS RESERVED.
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RIGHTS RESERVED.
12/09/21 17
RIGHTS RESERVED.
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RIGHTS RESERVED.
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RIGHTS RESERVED.
12/09/21 20
RIGHTS RESERVED.
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RIGHTS RESERVED.
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RIGHTS RESERVED.
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RIGHTS RESERVED.
12/09/21 24
RIGHTS RESERVED.
12/09/21 25
RIGHTS RESERVED.
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RIGHTS RESERVED.
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RIGHTS RESERVED.

IV Therapy

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IV Therapy

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IV THERAPY

• Wash hands and assemble equipment

Copyright 2006 BrainyBetty.com ALL

1.Remove entire IV: restart IV

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