8/28/2020 0 Comments Iv Fluid Therapy Guidelines
Labels on syringes should be placed parallel to the long axis of the syringe barrel with the top.They are primarily used for therapeutic purposes such as administration of medications, fluids andor blood products as well as blood sampling.For information related to insertion of PIVC, please refer to intravenous access guideline.
![]() Key Parts: part of the devices that must remain aseptic throughout the clinical procedures. Examples of Key parts include, catheter hub, needleless connector, syringe hub, needle etc. This happens when the tip of catheter slips out of the vein, catheter passes through the wall of the vein, or as blood vessel wall stretches which allows fluid to infuse into the surrounding tissue. The cause can be chemical (due to the osmolarity of the solution), mechanical (from trauma at insertion or movement) or infective (microorganisms contaminating the device). Signs include swelling, redness, heat, induration, purulence, a palpable venous cord (hard vein) and pain related to local inflammation of the vein at or near the insertion site. PIVC sites should be checked hourly for pressure sore and any signs of infection unless documented otherwise. Unstable patients who have signs and symptoms of complications are to be assessed more frequently. Inject the prescribed drug into the burette via the additive port. ![]() Without contaminating the key part (spike) insert the spike on the administration set into the septum of the infusion bag. Ensure the cannula is flushed with normal saline once the giving set is disconnected from the cannula. Use gravity sets only when rapid administration is required with diligent monitoring of volume. Label the syringe with both patient and blood product identification details including expiry date and time of blood product. The literature suggests the volume of flush should equal at least twice the volume of the catheter and add on devices and a minimum of 2mL normal saline flush is recommended. Syringes with an internal diameter smaller than that of a 10mL syringe can produce higher pressure in the lumen and rupture the catheter. If resistance is felt during flushing and force is applied this may result in extravasation Use aseptic non touch techniques including cleaning the access port (scrub the hub) with a dual disinfectant agent (e.g. This will allow continuous observation of the site and to help stabilise and secure the catheter. This will adequately immobilize the joint and minimise the risk of venous damage resulting from flexion. Ensure there is a clear window where the cannula enters the skin- insertion site, so the site can be regularly viewed. The label must be placed on the front of the fluid bag ensuring.
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