This quick-reference instruction manual meets Infusion Nurses Society criteria and offers the fundamental I.V. remedy evidence that nurses want for medical paintings. info is gifted in an easy-to-scan bulleted structure, with visually compelling illustrations of suggestions and attention-grabbing symbols that spotlight caution alerts.
Separate chapters specialize in peripheral and principal venous I.V. treatment, together with assurance on cutting-edge vascular entry units, PICC traces, and a quick-scan advisor to CV catheters. shut realization is given to the prevention and administration of particular issues of peripheral and critical venous treatment. different chapters disguise I.V. drugs management, transfusions, chemotherapy infusions, and parenteral nutrition.
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Place the dressing directly over the insertion site and the hub, as shown below. Avoid covering the tubing. Avoid stretching the dressing; doing so may cause itching. Tuck the dressing around and under the catheter hub to make the site occlusive to microorganisms. To remove the dressing, grasp one corner; then lift and stretch. V. V. dressing ◆ Wash your hands. ◆ Put on gloves. ◆ Hold the needle or catheter in place with your nondominant hand to prevent movement or dislodgment that could lead to infiltration.
Cephalic vein above wrist ◆ Have the patient make a tight fist. ◆ Stretch his fist laterally downward. ◆ Immobilize the skin with the thumb of your other hand. Inner arm ◆ Extend the patient’s closed fist backward from the wrist. ◆ Anchor the vein with your thumb above the wrist. Inner aspect of wrist ◆ Extend the patient’s open hand backward from the wrist. ◆ Anchor the vein with your thumb below the insertion site. Hand veins ◆ Stretch the patient’s hand and wrist downward. ◆ Hold the skin taut with your thumb.
V. flow rate. Remove the old spike from the container. Place the cover of the new spike over it loosely. V. container. Prime the system. Place a sterile gauze pad under the needle or hub of the plastic catheter to create a sterile field. Disconnect the old tubing from the venipuncture device. V. device. If you have trouble disconnecting the old tubing, use a pair of hemostats to hold the hub securely while twisting and removing the end of the tubing, or grasp the venipuncture device with one pair of hemostats and the hard plastic of the luer-lock end of the administration set with another pair and pull the hemostats in opposite directions.