What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults?
In peripheral vein cannulation, a plastic catheter (cannula) is inserted into a peripheral vein, typically using a catheter-over-needle device. Show
Absolute contraindications
Relative contraindications
In the above situations, use another site (eg, the opposite arm). Complications are uncommon and include
The above complications can be reduced by using sterile technique during insertion and by replacing or removing the catheters within 72 hours. Other complications include
Optional equipment includes
Do a preliminary inspection (nonsterile) to identify a suitable vein: Apply a tourniquet, have the patient make a fist, and palpate using your index finger to locate a large-diameter vein that is
nonmobile and has good turgor. To help distend and locate veins, tap a potential site with your fingertips. It may help to allow the arm to hang down, increasing venous pressure, and/or apply a warm compress. Use a vein-finder device if a suitable vein is not readily seen or palpated. After identifying a suitable cannulation site, remove the tourniquet. Apply topical
anesthetic if it is being used, and allow adequate time for it to take effect (eg, 1 to 2 minutes for gas injector, 30 minutes for topical). Prepare the IV infusion setup or the saline lock equipment. Wear gloves. Cleanse the skin site with antiseptic solution, beginning at the needle-insertion site and making several outwardly expanding circles. Allow the antiseptic solution to dry completely.
Click here for Patient Education When administering an IV antibiotic to a client where would the nurse hang the piggyback container?9. Ensure piggyback mini bag is hung above the primary IV solution bag. Position of the IV solutions influences the flow of the IV fluid into the patient. The setup is the same if the medication is given by gravity or through an IV infusion pump.
What action is most important for the nurse to implement when donning sterile gloves?which action is most important for the nurse to implement when donning sterile gloves? keep gloved hands above the elbows. Gloved hands held below waist level are considered unsterile. A client who is in hospice care complains of increasing amounts of pain.
Which drug is used as a palliative treatment for a client with tumor induced spinal cord compression?In patients with epidural spinal cord compression, high doses (dexamethasone, 100 mg IV followed by a slow taper) can be used to manage an acute episode of severe pain.
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