Introduction Intravenous therapy is a great way to provide IV medications into a vein; generally IVs are used only for short term care due to certain risks. Fortunate enough, there are alternatives for long term use, if needed. This paper will define peripherally inserted catheters and central lines. After describing the basic concepts of what a peripherally inserted catheter and central line are; safety, teaching, and care of the lines will be educated throughout. Central Lines “A central venous catheter, also called a central line, is a long thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more.” (Buchman 2011, WebMD). Common uses for central venous catheters are: long term medicine treatment for patients with pain, infection, cancer, kidney failure, and to supply nutrition. (Buchman 2011, WebMD). They can also be used to give blood transfusions at a quick rate, and in opposition can be used to take frequent blood…
Introduction Intravenous infusion therapy is an infusion of fluids directly into the patient’s bloodstream via a vein using an intravenous catheter. It is frequently used in hospital settings for patients that require a rapid onset of medication and for those who are unable to receive medications orally. According to Adams and Urban (2012), intravenous (IV) infusion is considered to be the most dangerous route of receiving medications because medication cannot be retrieved once it enters the…
Water is essential in keeping the body in balance. There are two significant compartments of the body that exchange fluids and electrolytes to maintain homeostasis, which are intracellular and extracellular. These two spaces continually interchange electrolytes, particles, and water to sustain the same pressure. (PP chap42 pg935) This paper will describe three machinimas that assists in maintaining homeostasis, four main categories of IV therapy, and nursing consideration in relation to infusing…
Phlebitis As each patient prepares for their stay in the hospital, majority of them will have an intravenous catheter inserted for fast and easy infusing of medications, fluids, and/or blood products when needed. Inflammation of the vein’s walls where the IV is placed on the hand or arm is termed at phlebitis. Phlebitis is the most common complication of IV infusions and occurs in 30% of patients that are receiving infusions within the hospital (Mullen & Mullen, 2007). Majority of the cases are…
Recognizing that medicine is ever-evolving, the studies chosen were systematically organized by date and results. Results were then broken down by favorable for saline, sodium bicarbonate or inconclusive. The data from the articles closed was interpreted. Of the six articles chosen the data was sorted by conclusion and recommendations for safe pre-procedural care of predisposed patients. Of the six studies reviewed, one commonality the studies exhibited was intravenous hydration for at least 12…
taken place, resulting in prompt recognition and management of many diseases. Despite this, meningococcal disease remains one of the leading causes of death in children and young people worldwide (Dowson, 2014). With its rapid onset and serious nature, meningococcal septicaemia affects up to 0.95% of the western world’s population each year making it essential for health professionals to understand the pathophysiology, recognition and treatment of this deadly disease in the prehospital setting. …
diaphragmatic injury The patient was intubated and ventilated The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained 150ml. o Right sided mediastinal drain o Left sided pericardial drain o Left sided peripheral intravenous (IV) line o Right sided central venous line o Right radial Arterial line (A. line) Before this case I had not previously come across an A. line in hospital or prehospitally which is why I will be focusing on…
East Jefferson General Hospital 747 So.2d 104 LA (1999) a nurse was charged with negligence in an Acute Care setting because of injury to a patient when the nurse needed three attempts at successfully inserting an intravenous catheter. In this case, the female patient was admitted to the Emergency Department after complaints of abdominal pain and the orders from the doctor were to start treatment, which included a intravenous line for medication. A nurse was assigned and an Intravenous Catheter…
To begin, I will describe the event: I was called to see a 70-year-old female patient on the ward as a Critical Care Response Team (CCRT) call. The patient was alert and oriented, pleasant and cooperative. She was tachycardic, pale, weak distal pulses, still normotensive and having frank rectal bleeding. I activated the Mass Transfusion Protocol, started a normal saline bolus by pressure infuser. I quickly contacted the intensivist, and without delay, we brought her to the Intensive Care Unit…
Critique of Quantitative and Qualitative Research Studies Deirdre Lanford Grand Canyon University NUR 504 Dr. D. Miller March 27, 2017 Critique of Quantitative Research Study Data Analysis Seven studies were presented in a meta-analysis of RCT’s. Findings There was no evidence in the literature reviews supporting the current CDC guideline to replace intravenous lines every 72-96 hours to avoid phlebitis or infection (Morrison & Holt, 2015). Validity and Reliability Participants in all RCTs…