Intraosseous infusion mhs 536

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Intraosseous infusion mhs 536

  1. 1. IntraosseousInfusion –Proximal TibiaInsertionJon E. ThomasMHS 536
  2. 2. Proximal Tibia Insertion Site
  3. 3. Proximal Tibia Insertion Site
  4. 4. Proximal Tibia Insertion SiteAnterior (front) view(Fingers on tibial tuberosities)Actual insertion sites located(Fingers on insertion sites)
  5. 5. IO InsertionSelect proper site, prepare with alcohol and betadine
  6. 6. IO InsertionROTATE SAFETY CAP CLOCKWISE TO REMOVE
  7. 7. IO InsertionPower the driverCheck the 5 mm mark!
  8. 8. IO InsertionComplete the insertion“Stop when you feel the pop”
  9. 9. IO InsertionStabilize needle set while disconnecting
  10. 10. IO InsertionRemove the stylet from the catheter(Never attempt to replace the stylet once removed from thecatheter)
  11. 11. IO InsertionPlace the stylet into an approved biological hazard container
  12. 12. IO InsertionAttach the provided EZ-connect extension set to thecatheter hub’s standard luer lockPrepare to give a10 ml syringe flush
  13. 13. IO InsertionDo not attach a syringe directly to the EZ-IO catheterAttaching a syringemay lead to anincrease in thediameter of theinsertion holeExtravasation
  14. 14. IO InsertionSyringe flush the EZ-IO prior to administration of anydrugs or fluidsNo Flush = No Flow
  15. 15. IO Confirmation• Catheter is firmly seated and does not move• You note blood at catheter hub• You are able to aspirate blood or marrow fromcatheter– We recommend aspiration of only a small amount ofblood due to its extremely viscous nature
  16. 16. IO Confirmation• Drugs or fluids flow without difficulty; no signs ofleakage in or around tissue– CAUTION: concious patients will experience pain withinfusion prior to lidocaine!• Flow rates may be slow or non existent prior to the 10 mlbolus• Check stylet tip for blood prior to placing it in theshuttle or the bio hazard container
  17. 17. Secure and IdentifyAttach wristband
  18. 18. Monitor the Infusion SiteImportant Reminder - flush prior to infusion anduse pressure to improve IO flow
  19. 19. Monitor the Infusion Site

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