To start off on the right foot, use the following tips to involve the patient and his parents before you even begin the infusion: As a pediatric IV nurse, you have to deal with squirming infants, anxious parents, chubby extremities, and smaller veins. IV therapy in children presents many challenges. Starting IVs on Children: Insider Advice from Pediatric Nurses
You know the needle is in the vein when you feel less resistance or see blood flashback (when the blood flashes into the catheter or blood chamber). Penetrate all layers of the vein in one motion. The closer the needle approximates the actual angle of the vein, the easier it will be to land the tip inside the vein. Place the needle directly above the vein and insert it, bevel up, at a shallow angle to the vein. Doing so tightens the skin and eliminates the possibility of vein movement. Gently tighten the skin by placing your thumb a few inches distal to the site and pulling down on the skin to anchor the vein. Using your finger, palpate (feel for) a vein that’s straight, soft, and bouncy when a tourniquet is applied.Īpply an anesthetic cream, such as EMLA (a mixture of equal quantities of lidocaine and prilocaine), or a freezing spray (such as Pain Ease), or inject a small amount of normal saline with preservative at the insertion site to numb the area and decrease the patient’s pain (and fear) when you insert the needle into the skin. Start by slowly and deliberately assessing the hand, wrist, forearm, and then antecubital area.
But don’t worry whether you’re administering fluids and electrolytes, medications, or blood components, you can use the following tips to get a head start to success: Starting peripheral IVs on adults is one of the most basic yet fear-evoking experiences in nursing. Patients who require multiple blood samplings, such as a DKA (diabetic ketoacidosis), will also benefit from a central line, as blood sampling can be performed using a three syringe technique. In addition to nutrition, multi-lumen central lines allow incompatible fluids, additives, blood components and drugs to be given simultaneously without interference. Central lines are used for patients that require IVs for a longer period of time, frequent blood draws, or medications that can be caustic to the smaller veins. Tricks of the Trade for Starting Peripheral IVs on AdultsĬentral Venous Lines – a central line is a general term for an intravenous catheter whose tip ends in a large blood vessel, usually the superior vena cava, close to the right atrium of the heart.
0 kommentar(er)
