Parenteral Administration: Intravenous Route

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Parenteral Administration: Intravenous Route
2014-03-19 00:03:09
Parenteral Administration: Intravenous Route
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  1. introduction of fluids directly into the venous bloodstream.
    Intravenous (IV) adminstration
  2. an apparatus that connects a large volume of parenteral solution with the IV access device in the patient's vein.
    IV administration set
  3. Which of all the parenteral routes is the most rapid because it bypasses all barriers to drug absorption?
    Intravenous (IV) administration
  4. All IV therapy requires a written order from a health care provider that is:
    • dated
    • has type of solution or medication
    • the dosage
    • rate
    • frequency
  5.                    is defined by the INS as the use of the nursing process as it relates to technology and clinical application, fluids and electrolytes, pharmacology, infection control, pediatrics, transfusion therapy, oncology, parenteral nutrition, and quality assurance.
    IV nursing
  6. Drugs can be administered by IV in three ways:
    • direct injection with a needle in the vein
    • intermittently
    • continuous infusion through peripheral or Central IV
  7. The                   (INS), a professional nursing organization, publishes the Infusion Nursing Standards of Practice and the Centers for Disease Control (CDC) publish recommendations for infection control relating to infusion therapy.
    Infusion Nurses Society
  8. Publishes recommendations for infection control relating to infusion therapy.
    Centers for Disease Control (CDC)
  9. Chambers- used for IV fluids administered more than 100mL per hour.
  10. chambers-used when a small volume of fluid is being administered (less than 100mL per hour) or for accurate volume administration for neonatal and pediatric patients.
  11. constricting devices that regulate flow by being adjusted while the nurse counts the number of drops that pass through the drip chamber per minute; not very accurate
    Roller and slide clamps
  12. applies external pressure to the administration set tubing to squeeze the solution through the tubing at a specific rate;
    Pumps/ Volumetric IV controllers
  13. devices used for short term use in the peripheral veins in the hand and forearm; should be changed every 72 hours to prevent infection and phlebitis; blood samples should never be drawn from these
    Peripheral Devices (blood should never be drawn from peripheral catheters)
  14. devices often left in place for 2-4 weeks; catheters are flexible and are inserted at the antecubital site and advanced to the distal subclavian vein; have lower rates of infection and phlebitis than with peripheral catheters; cost less than central venous catheters; blood should not be drawn from this type of catheter
    Midline catheters
  15. devices that are used when the purpose of therapy dictates (e.g. large volumes, irritating medications, or hypertonic solutions such as TPN's are to be infused); when peripheral sites have been exhausted because of repeated use or the condition of veins for access is poor; when long-term or home therapy is required; and when emergency conditions mandate adequate vascular access.
    Central Devices
  16. Most common used sites for Central Line insertion:
    • Subclavian
    • Jugular
    • Femoral
  17. Inserted into the superior vena cava or just outside the right atrium by way of the antecubital space; blood should not be drawn through these; TPN should not be given through these; these can remain in place for 1-3 months or longer if properly cared for.
    Peripherally inserted Central venous catheters (PICCs)
  18. surgically placed in an outpatient procedure under local anesthesia; inserted into the subclavian vein and advanced to the superior vena cava`
    Tunneled Central Venous Catheters
  19. Three common types of Tunneled central venous catheters
    • Hickman
    • Broviac
    • Groshong
  20. placed into central veins for long-term therapy of IV fluids, medications, total parenteral nutrition, and blood products; also referred to as Port-A-Caths; this type of access is implanted and sutured into a subcutaneous pocket in the chest area; must be accessed with a 90 degree angle Huber needle
    Implantable venous infusion ports