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Basic IV Therapy and Central Vascular Access Devices Infusion Care Experts, Inc. Precision Placements Presented by
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of a Vein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of a Vein vs. an Artery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VEIN ARTERY ,[object Object],[object Object],[object Object]
Vein Identification Basilic Cephalic Digitals Dorsal Metacarpals
Vein Information Chart Vein Location Size  Catheter Considerations Digital Veins N/A Do Not Use Metacarpal Veins 24-20g ,[object Object],[object Object],Cephalic Vein 24-20g ,[object Object],[object Object],Basilic Vein 24-20g ,[object Object],[object Object]
Basilic Vein Vein Identification Median Antebrachial
Vein Information Chart …Continued Vein Location Size  Catheter Considerations Median Antebrachial Vein N/A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],N/A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nerves of the Upper Extremities
Nerves of the Hand and Wrist
Important Concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Fluids Hydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Fluids Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aminoglycosides and Tricyclic Glycopeptides ,[object Object]
Intravenous Fluids TPN/ PPN ,[object Object],[object Object],[object Object]
Intravenous Fluids Pain Management ,[object Object],[object Object],[object Object],[object Object]
Complications of Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Fluids Chemotheraputic Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Checklist for Peripheral IV Insertion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Nurses Society Standards ,[object Object],[object Object]
Criteria for Vein Selection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Catheter Selection ,[object Object],[object Object],[object Object],[object Object],[object Object],Flashback Chamber Hub t
Vein Selection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vein Dilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral IV Dressings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Technique ,[object Object],[object Object],[object Object],[object Object]
Venipuncture Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral IV Removal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peripheral IV Demonstration   ,[object Object]
IV Rate Calculations A. Total Volume X drops/ml = Drops/Min. Total Time in Minutes B. Drip Rates of IV Tubing ( check package) Formulas
IV Rate Calculations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Midline Catheter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Central Venous Anatomy Cephalic   Vein Basilic Vein Superior Vena Cava Innominate Vein   Or  Brachiocephalic Vein Subclavian Vein Jugular  Vein Axillary Vein
Central Venous Access Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Central Venous Access Tip Placement
Peripherally Inserted Central Catheter  (PICC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Peripherally Inserted Central Catheter  (PICC)… Continued
[object Object],[object Object],[object Object],[object Object],[object Object],Peripherally Inserted Central Catheter  (PICC)
Implanted Ports- AKA   portacaths, ports,mediports and passports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Pinch Off Syndrome? ,[object Object]
Non-Tunneled Catheters - Triple lumen, Subclavian, CVC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tunneled Catheters - Hickman,Groshong ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Documentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Demonstration of Central Line Dressing Change ,[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Phlebitis  Infusion Phlebitis  - inflammation of the vein associated with infusion phlebitis as seen in this photograph.
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications Cellulitis adhering to aseptic technique is vital in the prevention of intravenous related infections. Asepsis should be maintained at insertion, during clinical use and at removal of the device.
Sepsis
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thrombosis
PICC Line Embolism/Rupture ,[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extravasation
Blood Sampling Through CVAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Legal Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Legally Speaking ,[object Object],[object Object],[object Object]
Questions and Review for Test
Congratulations   ! Thank You for Your Participation ,[object Object],[object Object],[object Object],[object Object]
Basic Vascular Access Ice Ppt Presentation.Ppt2

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Basic Vascular Access Ice Ppt Presentation.Ppt2