Intravenous Lines Essay

However, there are additional guidelines in terms of assessing the patient for prolonged catheter use. There should be frequent assessment and evaluation of the patient’s need for continued use. It is important to note that in addition to determining the patient’s need for catheterization, prior to insertion the nurse should also complete the following:

It can also occur during blood transfusion or during dressing change. The insertion of central catheters can occur in the Interventional Radiology or sometimes at the bedside. Regardless of the where the insertion process occur, a sterile field must always be maintained and sterile techniques must always be employed to prevent any organisms from being introduced to the central line into the patient. According to The Joint Commission (2013), many organizations such as Michigan Keystone Intensive Care Unit Project and Institute for Healthcare Improvement are actually adhering to insertion bundles to reduce the CLABSI rates. The bundles include hand hygiene, maximal barrier precautions, chlorhexidine skin preparation, avoidance of femoral vein, and prompt removal of central catheter. Furuya et al. (2011) studied the effectiveness of the insertion bundle and how it impacts the bloodstream infections for patients in the Intensive Care Unit. As a result, lesser infection have occurred when the compliance is high. As mentioned, the site of the catheter also needs to be considered in the insertion process. Avoiding areas such as the groin to access the femoral artery is recommended because this area can be easily contaminated with urine or feces. In addition, after the insertion of a new central line, all the used IV tubing

The procedure was done emergently because of the patient’s critical condition. His right IJ area was prepped in the usual fashion. It was very difficult to visualize his right IJ vein, even though his habitus should have allowed us to do so, but the patient was, I believe, severely intravascularly volume depleted, and his vein was collapsing. I have attempted to access the right internal jugular vein multiple times, both under real-time ultrasound guidance and even later on blindly. I was able to get blood return and hit the vein; however, I was not able to advance the guidewire. I was able to advance it one time and put the catheter in, and it was nonfunctioning. I had to take the catheter out and tried multiple other times on the right IJ vein without success. That procedure was terminated. Pressure was applied. There was no cervical hematoma whatsoever. The patient was uncomfortable because of the length of the procedure but did well otherwise. Hemodynamically, he was unchanged, and his oxygen saturations remained stable.I prepped the IJ vein area in the usual fashion. One percent lidocaine was used for local anesthesia. Again, the left IJ vein was collapsing. With deep inspiration, the vein could be well visualized on the real-time and ultrasound guidance, after which I could get access to the left IJ vein. A wire was advanced without difficulty while the

* Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion

• An IV tube may be inserted into a vein. You may get fluids and medicine through the IV tube. This may include antibiotic medicine to treat or prevent infection.

This type of procedure is performed in a hospital or outpatient setting under the supervision of a certified Interventional Radiologist. Commonly performed procedures can include the treatment of varicose veins, deep vein thrombosis (DVT), pulmonary embolism, IVC filter placement, abdominal aortic aneurysm (AAA), etc. This type of modern imaging has greatly decreased the amount of invasive surgeries as well as limits the cost for patients. With this procedure, imaging such as x-ray, CT, or ultrasound are used to guide the doctor through minor incisions into the body.

Peripheral IV catheterization is a painful and potentially anxiety-provoking procedure for the patients. The interventions to reduce the pain caused by venipuncture were explored in the past decades (Oman, 2014). The majority of the studies reviewed in this summary included one level 1 evidence of meta-analyses (Oman, 2014), three level 2 evidences of randomized controlled trials (Beck, 2011; Deguzman, 2012; Kahre, 2011) and one level 3 evidence of controlled trials without randomization (Levitt , 2013). Many studies have demonstrated that 1% lidocaine intradermal injection before IV insertion can reduce the pain significantly (Oman, 2014). Kahre and his colleagues’ study indicated bacteriostatic normal saline (BNS) group had lower pain score

A is antisepsis of the skin, the skin could have microorganisms on them that can travel with the needle in to a patient’s blood stream. The use of alcohol wipes, chlorhexidine are the important to use before the needle breaks the skin barrier. Rubbing the site where the IV will be placed and letting it fully dry is the best way to keep infection out of the patient.

Here, we first look at how catheters are used and then discuss the problems that may appear when they are not used in the proper manner.

Central lines and peripherally inserted central catheter are tubes inserted in a patient’s vein. They are required to help the patient get medication and nutrition. There are so many articles about these tubes, what they are, how to put them, and how to care about them. To achieve the aim of these tubes without complications, the people with them should know about them and know how to care for them, what is not normal about them, what to do in case of complications, and when to call their healthcare provider. In this paper the safety, teaching and care about the central and peripherally inserted central catheter will be discussed.

An IV may be placed in your child's arm. The IV will deliver a cold, saltwater liquid (saline solution) through your child's

• A needle will be inserted into your arm to administer the IV contrast material.

Throughout the clinical week my main concerns were safety, fluid balance, and seizure precautions. The patient refused anything NPO and had no intake of fluid or food on my shift. To aid in fluid balance he is placed on an IV infusion of .9% sodium chloride. Gloves are applied

You are not alone; I feel the same exact way. When I had Sim this week, I felt flustered because I was not confident enough with hanging fluid IV’s. I really want to become confident in this skill because nurses are performing this task every day. Every nurse I had in clinical just did it and never allowed me to.

The use of intravenous therapy in the hospitals is now considered a routine therapy. In 2016, DeVries and Valentine stated that 70% to 80% of hospital patients have peripheral intravenous lines at some time during their stay. A peripheral intravenous (PIV) line is a small hollow tube (catheter) that is inserted into a vein and can be connected to special tubing. PIV line is commonly used to administer medications or fluids directly into the vein. The article “Intravenous Therapy: A Review of Complications and Economic Considerations of Peripheral Access,” states that the history of intravenous (IV) therapy dates back to the Middle Ages. Dr. Thomas Latta pioneered the use of IV saline infusion during the cholera epidemic and in the 20th century, two world wars established a role for IV therapy as routine medical practice (Dychter, Gold, Carson, & Haller, 2012).