IV THERAPY SITES TO AVOID
Intravenous (IV) therapy Wrist, legs, feet or ankles
Veins below a previous IV infiltration
- is the insertion of a needle or
Vein below a phlebetic area
catheter/cannula into a vein, based on
Sclerosed or thrombosed veins
the physician's written prescription. The
Areas of skin inflammation
needle or catheter / cannula is attached
An arm affected by a radial mastectomy
to a sterile tubing and a fluid container
to provide medication and fluids. Edema, blood clot or infection.
An arm with an arteriovenous shunt of
Intravenous cannula fistula.
- is a flexible tube which when inserted
into the body is used either to withdraw
fluid or insert medication
Cannula normally comes with a trocar (a sharp
pointed needle) attached which allows puncture
POINTS TO REMEMBER WHILE SELECTING
of the body to get into the intended
THE VEIN
PURPOSE OF CANNULATION
Make use of the most distal part of the
Repeated blood sampling vein
Intravenous fluid administration Avoid puncturing the vein on joint. It will
Intravenous medications administration hinder the normal movement of joint.
Intravenous chemotherapy Avoid puncturing the vein in close
administration proximity to an infected wound.
Intravenous nutritional support Avoid puncturing the vein on extremity
Intravenous blood or blood products having a shunt.
administration Try avoid puncturing the vein of lower
Intravenous administration of extremities in adults. Because of the
radiological contrast agents for CT/MR high risk of development of deep vein
thrombosis.
Prepared by: Sosa, Reycel Jean A.
, 5%D/W is isotonic when infused but
becomes hypotonic when dextrose has
been metabolized.
Use cautiously in patients who are fluid-
overloaded or who would be
compromised if vascular volume would
increase such as renal and cardiac
patients.
ACTIONS OF COLLOIDS:(Plasma Expanders)
These contain large insoluble particles
such as "gelatin".
Used if crystalloids do not improve
ISOTONIC SOLUTIONS blood volume. BLOOD can be
categorized as a colloid.Act like
INDICATIONS: HYPERTONIC solutions causing
shifting of fluid out of the cell increasing
Isotonic solutions contain electrolytes ECF.
such as Nacl,KCL,Cacl and sodium Long lasting effect than crystalloid
lactate. hence should be infused slowly and
Indicated in the treatment of vascular watch out for circulatory overload.
dehydration, replaces sodium and
chloride. Prepared by: Sosa, Reycel Jean A.
Intravenous (IV) therapy Wrist, legs, feet or ankles
Veins below a previous IV infiltration
- is the insertion of a needle or
Vein below a phlebetic area
catheter/cannula into a vein, based on
Sclerosed or thrombosed veins
the physician's written prescription. The
Areas of skin inflammation
needle or catheter / cannula is attached
An arm affected by a radial mastectomy
to a sterile tubing and a fluid container
to provide medication and fluids. Edema, blood clot or infection.
An arm with an arteriovenous shunt of
Intravenous cannula fistula.
- is a flexible tube which when inserted
into the body is used either to withdraw
fluid or insert medication
Cannula normally comes with a trocar (a sharp
pointed needle) attached which allows puncture
POINTS TO REMEMBER WHILE SELECTING
of the body to get into the intended
THE VEIN
PURPOSE OF CANNULATION
Make use of the most distal part of the
Repeated blood sampling vein
Intravenous fluid administration Avoid puncturing the vein on joint. It will
Intravenous medications administration hinder the normal movement of joint.
Intravenous chemotherapy Avoid puncturing the vein in close
administration proximity to an infected wound.
Intravenous nutritional support Avoid puncturing the vein on extremity
Intravenous blood or blood products having a shunt.
administration Try avoid puncturing the vein of lower
Intravenous administration of extremities in adults. Because of the
radiological contrast agents for CT/MR high risk of development of deep vein
thrombosis.
Prepared by: Sosa, Reycel Jean A.
, 5%D/W is isotonic when infused but
becomes hypotonic when dextrose has
been metabolized.
Use cautiously in patients who are fluid-
overloaded or who would be
compromised if vascular volume would
increase such as renal and cardiac
patients.
ACTIONS OF COLLOIDS:(Plasma Expanders)
These contain large insoluble particles
such as "gelatin".
Used if crystalloids do not improve
ISOTONIC SOLUTIONS blood volume. BLOOD can be
categorized as a colloid.Act like
INDICATIONS: HYPERTONIC solutions causing
shifting of fluid out of the cell increasing
Isotonic solutions contain electrolytes ECF.
such as Nacl,KCL,Cacl and sodium Long lasting effect than crystalloid
lactate. hence should be infused slowly and
Indicated in the treatment of vascular watch out for circulatory overload.
dehydration, replaces sodium and
chloride. Prepared by: Sosa, Reycel Jean A.
