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IV Therapy

This document provides an overview of intravenous (IV) therapy, including definitions, indications, equipment, procedures, monitoring, and complications. IV therapy involves inserting a catheter or needle into a vein to administer fluids, medications, or blood products. It is indicated for conditions like shock, dehydration, or to deliver medications. Proper equipment includes IV administration sets, needles or catheters, fluids, and additional supplies. The procedure involves preparing the solution, selecting and preparing the vein site, performing venipuncture, securing the catheter, and monitoring the patient. Potential complications can be local, like infiltration or infection, or systemic, such as air embolism or circulatory overload.

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449 views22 pages

IV Therapy

This document provides an overview of intravenous (IV) therapy, including definitions, indications, equipment, procedures, monitoring, and complications. IV therapy involves inserting a catheter or needle into a vein to administer fluids, medications, or blood products. It is indicated for conditions like shock, dehydration, or to deliver medications. Proper equipment includes IV administration sets, needles or catheters, fluids, and additional supplies. The procedure involves preparing the solution, selecting and preparing the vein site, performing venipuncture, securing the catheter, and monitoring the patient. Potential complications can be local, like infiltration or infection, or systemic, such as air embolism or circulatory overload.

Uploaded by

Flighterdoc
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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INTRAVENOUS (IV)

Therapy

SSgt. Mark Thomas


NREMT-P
OVERVIEW
 Definition
 Indications
 Equipment and Supplies
 Steps
 Monitoring
 Complications
Definitions
 Intravenous Fluid Therapy
 Venipuncture
 Keep Vein Open (KVO/TKO)
 Transfusion Me
Te dica
 Infusion rm l
s
 Electrolyte Solution
Indicators for IV Therapy
 Shock

 Administration of medications

 Dehydration or replacement of
fluid and electrolytes
EQUIPMENT /SUPPLIES
 Administration set (tubing)
 Needle/ catheter
 IV fluids
 Additional supplies
Administration Sets
 Macro-drip Set - used in emergency
situations to deliver large amounts of
fluid.

 Mini-drip Set - used to keep an IV line


open, flowing with minimal volume
infusion.
Needle / Catheter
Three types
 Butterfly
 Catheter over needle
 Catheter through needle
Needle/Catheter
Sizes
 Large gauge
»14, 16, 18
 Small gauge
»20, 21, 22, 23, 26 etc..
Intravenous Fluids
Solutions Abbreviations
5% Dextrose D5W
10% Dextrose D10W
Normal Saline NS
Half-Normal Saline 1/2 NS
Quarter-Normal 1/4 NS
Saline
Lactated Ringers LR
Additional Supplies
 Constricting Band
 Tape
 Scissors
 Gauze
 Cravats
 Short Arm Board
 IV Pole
Procedure to Start IV
Infusion
 Prepare Solution
 Select sight
 Prepare sight
 Perform venipuncture
 Secure
Prepare Solution
 Fluid selection
 Check solution
» Expiration date
» Sterile seals intact
» Solution is clear
 Administration set
 IV. needle or catheter
Selecting the Site
 Upper extremity
» Cephalic
» Medial Basilic
» Dorsal Arch (hand)
 Vein is straight
 Not distal to injury sight
Preparing the Site
Constricting Band
» 2 - 6 inches above veinpuncture sight
» Restrict venous blood flow only

 Clean Area
» Allergies?
» Betadine pad
» Alcohol pad
Performing the Venipuncture
 BSI
 Traction
 Insert needle/catheter
» Bevel up
» 30 degree angle
 Advance needle/catheter slowly
 Flash
 Advance 1/4 inch
Performing the Venipuncture
 Withdraw needle 1/4 inch
 Advance catheter
 Blood samples
 Attach administration set/tubing
 Release constricting band
 Open flow
Securing IV
 Tape
» 1/2” wide sticky side up under hub
» Criss-cross tape over hub
» Loop tubing and tape
 Transparent IV dressing (Opsight)
» Place over catheter and pucture sight
» Secure to skin
» Loop tubing and tape
Monitoring the Patient and IV
 Vital signs
 Overhydration
 Monitor flow rate
 Infiltration
 Replacing container
Complications of IV
Therapy
 Local Complications

» Pain
» Infiltration
» Infection
» Arterial puncture
Complications
 Systemic
» Air embolism
» Circulatory overload
» Anaphylaxis

 Environmental
» Cold climates
» Disposition of needle
Summary
 Define IV therapy
 Indications
 Equipment and supplies
 Steps
 Monitoring the patient and IV
 Complications
Questions?

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