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Purposes of IVF’s - PowerPoint PPT Presentation


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Purposes of IVF’s. Continuous-fluid replacement, correct acid-base imbalances, nutrition, medications Intermittent-medications or bolus fluids. Types of IVF’s. Hypotonic- Hypertonic Isotonic Electrolytes TPN Blood. Methods of Delivery. Peripheral-arms, legs, scalp Central-subclavian

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purposes of ivf s
Purposes of IVF’s
  • Continuous-fluid replacement, correct acid-base imbalances, nutrition, medications
  • Intermittent-medications or bolus fluids
types of ivf s
Types of IVF’s
  • Hypotonic-
  • Hypertonic
  • Isotonic
  • Electrolytes
  • TPN
  • Blood
methods of delivery
Methods of Delivery
  • Peripheral-arms, legs, scalp
  • Central-subclavian
  • PICC-antecubital
  • Midline-antecubital but not as long
  • Ports-implanted reservior
initiating ivf s
Initiating IVF’s
  • Verify order
  • Inform patient
  • Assess patient-risk for FVE, labs, S&S FVD
  • Review patient’s condition,allergies
  • Choose site if peripheral-RN- other sites by MD or specially trained RN
  • Prepare IVF
site selection
Site Selection
  • Hands & arms preferred-distal to proximal
  • Name that vein!
  • Cannula size? What are the IVF’s & how long is therapy?
  • Condition of vein? “My veins roll.”
starting ivf s
Starting IVF’s
  • Site chosen!
  • Attempt X2! STOP! Call someone else!
  • Start flow-observe site-infiltration
  • Reassess patient
  • Reassess flow rate
  • IVF’s=I&O
ivf maintenance
IVF Maintenance
  • Assess site q 4 hr
  • Assess VS, lungs sounds, edema, cough
  • Assess labs-lytes
  • IV site change q 72 hr & tubing for peripheral
  • Blood- tubing each unit
  • TPN-tubing q 24 hr
discontinuing ivf s
Discontinuing IVF’s
  • Verify order
  • INT/Hep lock/Saline lock
  • Remove cannula-inspect
  • Cover site-pressure if needed
  • Discard all materials
  • Reassess site
complications of ivf therapy
Complications of IVF therapy
  • Infiltration/extravasion/phelebitis
  • Infection
  • Embolism-air
  • Metabolic
  • Electrolytes
  • FVD
  • Allergic reaction-latex or blood
preventing complications
Preventing Complications
  • Verify order-6 rights of drug administration
  • Assess site
  • Assess labs
  • Assess lung sounds,edema cough
blood administration
Blood Administration
  • Informed consent
  • Patient right to refusal
  • Site
  • 18 gauge preferred
  • Lab to perform T & C
  • Go to blood bank-sign for blood
  • Adm over prescribed time
types of blood products
Types of Blood Products
  • Whole blood (500 mL)
  • PRBC’s-autologus vs donor (250 mL)
  • Platelets (125 mL)
  • FFP (200 mL)
  • Check bag for specific amount (I&O)
  • Assess compatability
more bloody maintenance
More Bloody Maintenance
  • VS prior to blood product then follow policy
  • Saline is primary, blood secondary
  • Use only blood adm tubing-filter
  • Hang time- 4 hr or<
  • VS when discontinue and 1 hr p unit
  • Return to lab for each unit
  • Have #2 RN to verify patient & unit each time
  • Patient must have blood band-lab/T&C
complications of blood administration
Complications of Blood Administration
  • Febrile non-hemolytic
  • Acute hemolytic
  • Allergic
  • Overload
  • Bacterial
  • Iron overload
  • Diseases
documentation of iv therapy
Documentation of IV Therapy
  • Time, site, IVF, rate, pt condition & tolerance
  • IV site assessment
  • FVD
  • Other
healthcare personnel involved in ivf s
Healthcare personnel involved in IVF’s
  • Physician
  • RN
  • Pharmacy
  • Lab
  • Case Manager
  • Home Health