Transcript Alaris® Pump module Preparing an Infusion

IV Therapy
Complications
How to hang an IV
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Fluid Balance
Fluid intake
Normal
Fluids ingested
Oral
1100-1400 mL
Foods
800-1000 mL
Metabolism
300 mL
Total
2200-2700
Fluid output
Skin (sweat)
500-600 mL
Insensible (lungs)
400 mL
GI
100-200 mL
Urine
1200-1500 Ml
Total
2200-2700
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Intravenous Therapy
•The goal of IV fluid administration is to
•Correct or prevent fluid and electrolyte
disturbances
•Provide direct access to the vascular
system
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Types of Solutions
• Isotonic:
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Most common
A fluid with the same concentration of normal blood
Ex. 0.9% Sodium Chloride (NS), 5% Dextrose in Water (D5W)
Used for volume replacement (eg. after prolonged vomiting);
• Hypotonic
• A fluid that is more dilute than blood
• Used to rehydrate the cells; eg. 0.45% NaCl, D5 0.45% NaCl
• Hypertonic
• A fluid that is more concentrated than normal blood
• Used to increase vascular volume, use with caution due to risk for fluid overload; eg.
D10 W, D5 LR, 3% normal saline
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Intravenous Therapy: Additives
• Potassium chloride (KCl): common
• 1000 ml D5 ½ NS with 20 mEq KCl at 125 mL/hr
• Potassium must be given carefully, since hyperkalemia can cause fatal cardiac
dysrhythmias
• NEVER give KCl IV push
• KCl must be given slowly
• KCl is irritating to the veins and patients will complain of pain
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Intravenous Therapy: Orders
Should contain:
• specific solution
• Volume to be infused
• Rate
• Frequency
• additives
• time schedule
• Example: D5½ NS with 20 meq KCL
Follow 7 rights of medication administration, same as with all
medications
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Vascular Access Devices (VADs)
• Peripheral catheters: short term use (after surgery
or a procedure)
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Vascular Access Devices (VADs)
• Central Catheters: long-term use (chemo therapy, PN)
• More effective than peripheral catheters for administering large
volumes of fluid, PN and medications
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IV Therapy: Central Line
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IV Therapy: Implanted Ports
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Vascular Access Devices (VADs)
• Central Catheters: long-term use (chemo therapy, PN)
• PICC: Peripherally inserted central catheters
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IV Therapy: Peripheral Sites
Feet not recommended for adults
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IV Therapy: Starting an IV
• Review order
• Get supplies
• Explain to patient
• Find best vein
• Start distally
• Perform venipuncture, secure, start fluids
• Document
• Dressing should be transparent
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IV Therapy: Equipment
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Nexvia
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Nexiva
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Nexiva
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IV Therapy: Dressing
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Complications of Intravenous
Therapy
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Circulatory overload
NI:
Reduce IV flow rate and Notify HCP
Raise head of bed
Monitor VS and labs
Watch for new IV order
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Infiltration or Extravastion
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Phlebitis
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Local infection
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Bleeding at IV Site
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Alaris® Pump module
Preparing an Infusion
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Alaris® Pump module
Preparing an Infusion
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Alaris® Pump module
Preparing an Infusion
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Alaris® Pump module
Preparing an Infusion
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Alaris® Pump module
Preparing an Infusion
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Alaris Pumps
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Alaris Pumps
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Secondary Tubing
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