6. Veins used in IV therapy Internal jugular External jugular Superior vena cava Left subclavian Cephalic Basilic Median cubital Median antebrachial Accessory cephalic Dorsal venous arch Metacarpal Digital
22. Infusion flow rates Maintaining accurate flow rate for the solutions Runs to fast or too slow Volume – control devices & correct administration set Familiar with all information in the doctor’s order
32. Rate reminder Added to the IV tubing. Sets it to the desired flow rate, you adjust the clamp to deliver that rate. Be sure to label the infusion bag with the rate in milliliters per hour.
33. Rate reminder Don’t deliver infusions at rates lower than 5 – 10 ml/hr Adult patients and noncritical infusions
37. Documentation of IV therapy When therapy is initiated, label the dressing on the catheter insertion site & the fluid container according to facility policy & procedures & document… Abbreviations
Continuous – allows carefully regulated amount of fluid over a prolonged period.Intermittent – a solution (commonly a medication such as an antibiotic) given for shorter periods at set intervals. Direct – (sometimes called IV push) used to deliver single dose (bolus) of a drug.
Advantages
Disadvantages
Secondary line is usually connected or piggybacked into the primary line by way of a Y – site ( y – shaped section of tubing with a self – sealing access port)
Types of IV setsVented – plastic bags and some bottles.Other features & optionsIv administration sets comes with features as well, including ports for infusing secondary medications and filters for blocking microbes, irritants, or large particles. The tubing also varies. Some types are designed to enhance proper functioning of devices that help regulate the flow rate. Other tubing is used specifically for continuous or intermittent infusion or for infusing parenteral nutrition or blood.
Maintain precise IV flow rates, use an infusion control device
It resembles a roller clamp.Added to the IV tubing.Sets the rate minder to the desired flow rate, you adjust the clamp to deliver that rate.Be sure to label the infusion bag with the rate in milliliters per hour.
Some limitations. Don’t deliver infusions at rates lower than 5 – 10 ml/hrMainly for adult patients and noncritical infusions.
