IV therapy

Lab Session 2: Starting Intravenous Therapy (2 Hours)

* (At the end of the laboratory session, the students will be able to:

• State the purposes of intravenous fluid therapy.• Prepare the necessary supplies and equipments.• Calculate the correct rate of specific order for intravenous therapy.• Recognize the common sites to perform veni-puncture for infusion on adult

patients.• Document the name of intravenous fluids on medication sheet and

intake/output chart.• Recognize the complications of intravenous fluids therapy.• Select the appropriate action when complications occur during or after

intravenous infusion.• Initiate to practice confidently in performing the skill of administering

intravenous therapy for adult patients.

What is the purposes of intravenous fluid therapy?

1. To provide water, electrolytes and nutrients to meet daily requirements

2. To replace water and correct electrolytes deficits

3. To administer medications and blood products.They will be dextrose or electrolytes mixed with

water as electrolytes alone will enter the cell as cause cell rupture.

Calculate the correct rate of specific order for intravenous therapy.

•?

Recognize the common sites to perform veni-puncture for infusion on adult patients.

• Peripheral location as in extremities are only sites used by nurse.

• They are safe and easy to enter that arm vein are commonly used.

• Metacarpal , cephalic , basilic, and median veins and their branches are recommended sites because of their size and ease of access

• Leg vein are rarely if ever to be used as risk for thrombo-embolism.

• Areas distal to previous IV infiltration or phelebitic areas , arm with fistula, arm with edema or infection or skin breakdown .

• Central line is for physicians e.g: subclavian and internal jugular veins.

• Use large vessels if patient is collapsed to give hyper-osmolar fluids.

• Chose site not in the joints.

What to consider ?

1. Condition of vein2. Type of fluid or medication (thick as blood)3. Duration of therapy4. Patient age and size5. Whether the patient right or left handed6. Patient medical history7. Skill of patient performing the vein puncture.

Document the name of intravenous fluids on medication sheet and intake/output chart.

•?

Recognize the complications of intravenous fluids therapy.

• P306• Systematic and local

Select the appropriate action when complications occur during or after intravenous

infusion.

Initiate to practice confidently in performing the skill of administering

intravenous therapy for adult patients.

• p304