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Intravenous cannulation

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Sarah Stewart
Sarah Stewart

This slideshow introduces the basic concepts around intravenous cannulation. Whilst the context is midwifery this slideshow is also suitable for nurses and medical staff.

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Intravenous Cannulation Sarah Stewart 2012 http://www.flickr.com/photos/24782931@N00/3341006811
Intravenous cannulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/26406919@N00/313969546
Purposes of IV therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/48819968@N00/84515824
Reasons why midwives need to be able to cannulate PPH Epidural Drug treatment Blood transfusion Induction/augmentation Premature labour/PIH/diabetes LSCS/manual removal/repair of tear  Correct ketosis/?fetal tachycardia/distress http://www.flickr.com/photos/48819968@N00/84002998
Preparation ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/29946035@N08/5504530428
Preparation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/44312356@N04/5246179138
Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cleaning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Veins of the Hand 1. Digital Dorsal veins 2. Dorsal Metacarpal veins 3. Dorsal venous network 4. Cephalic vein 5. Basilic vein Veins of the Forearm 1. Cephalic vein 2. Median Cubital vein 3. Accessory Cephalic vein 4. Basilic vein 5. Cephalic vein 6. Median antebrachial vein
Inserting cannula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Applying dressing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Troubleshooting tips ,[object Object],[object Object],[object Object],[object Object]
Troubleshooting tips ,[object Object],[object Object],http://www.flickr.com/photos/33987777@N00/223015379
Troubleshooting tips ,[object Object],[object Object],http://www.flickr.com/photos/30562035@N00/3087928130
[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/29174632@N00/1171788641
Common problems during cannulation procedure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Local complications ,[object Object],[object Object]
Local complications ,[object Object],[object Object],[object Object]
Phlebitis http://www.nova.edu/~stmartin/IV/IVTherapyPrintout.html
Local complications Treatment – stop infusion, remove cannula, resite, apply warm compress, elevate and rest arm Prevention – regular monitoring of IV site & cannula, appropriate choice of site, secure taping, ask woman to report any discomfort
Local complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Local complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Local complications ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/42998601@N00/35590995
Sodium chloride 0.9% isotonic Most commonly used - administer drugs, eg syntocinin, magnesium sulphate. Replaces H20, Na, C in dehydration. Haemodilution can occur. Overload. Hartmann's (lactated Ringer's solution) isotonic Epidural - pre-loading dose to counter-act hypotension. Replaces H2O and electrolytes. If in doubt, use Hartmanns. Watch for overload. Ephedrine should be used if hypotension persists. Dextrose 5% isotonic Rarely used Increases maternal blood sugar - increases fetal insulin - fetal hypoglycaemia - jaundice. Haemaccel Synthetic polygeline colloid Plasma volume expander Not so commonly used as was. Whole blood Plasma volume replacement, replaces red blood cells (hb), replaces clotting factors, source of fresh blood. Increases O2-carrying capacity, administer through blood filter, do not infuse cold, risk of blood borne infections. Packed cells Treat anaemia, used with women with low hb but adequate blood volume. Increases O2-carrying capacity, replaces low hb without extra plasma volume preventing overload, administer through blood filter, risk of blood borne infections.
References ,[object Object],[object Object],[object Object]

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Intravenous cannulation

  • 1. Intravenous Cannulation Sarah Stewart 2012 http://www.flickr.com/photos/24782931@N00/3341006811
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  • 4. Reasons why midwives need to be able to cannulate PPH Epidural Drug treatment Blood transfusion Induction/augmentation Premature labour/PIH/diabetes LSCS/manual removal/repair of tear  Correct ketosis/?fetal tachycardia/distress http://www.flickr.com/photos/48819968@N00/84002998
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  • 9. Veins of the Hand 1. Digital Dorsal veins 2. Dorsal Metacarpal veins 3. Dorsal venous network 4. Cephalic vein 5. Basilic vein Veins of the Forearm 1. Cephalic vein 2. Median Cubital vein 3. Accessory Cephalic vein 4. Basilic vein 5. Cephalic vein 6. Median antebrachial vein
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  • 21. Local complications Treatment – stop infusion, remove cannula, resite, apply warm compress, elevate and rest arm Prevention – regular monitoring of IV site & cannula, appropriate choice of site, secure taping, ask woman to report any discomfort
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  • 26. Sodium chloride 0.9% isotonic Most commonly used - administer drugs, eg syntocinin, magnesium sulphate. Replaces H20, Na, C in dehydration. Haemodilution can occur. Overload. Hartmann's (lactated Ringer's solution) isotonic Epidural - pre-loading dose to counter-act hypotension. Replaces H2O and electrolytes. If in doubt, use Hartmanns. Watch for overload. Ephedrine should be used if hypotension persists. Dextrose 5% isotonic Rarely used Increases maternal blood sugar - increases fetal insulin - fetal hypoglycaemia - jaundice. Haemaccel Synthetic polygeline colloid Plasma volume expander Not so commonly used as was. Whole blood Plasma volume replacement, replaces red blood cells (hb), replaces clotting factors, source of fresh blood. Increases O2-carrying capacity, administer through blood filter, do not infuse cold, risk of blood borne infections. Packed cells Treat anaemia, used with women with low hb but adequate blood volume. Increases O2-carrying capacity, replaces low hb without extra plasma volume preventing overload, administer through blood filter, risk of blood borne infections.
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