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IV CANULATION
BIJAYLAXMI BEHERA
PURPOSE
• Administration of fluid therapy
• Stabilization of sick newborn
• Administering intravenous medications
• Infusion of blood products
EQUIPMENTS
• Scalp vein set / cannula 24/26G
• Syringe
• Normal saline
• Cotton
• Alcohol, betadine/ povidone iodine
• Splint Tape,
• Scissors
• Sterile gloves
POINTS TO REMEMBER
• Intravenous access may be initiated by physician or a neonatal nurse practioner.
• The nurse is also expected to - Prepare all materials.
• Help in identification of suitable vein.
• Assist in immobilization i.e., taping and splinting.
• Connect intravenous fluid and monitor infusion rate.
• Administer IV medications.
PROCEDURE
(FOLLOW ASEPSIS ROUTINE AND STANDARD PRACTICE )
1. Wash hands and assist by physician by holding the extremity and making the vein
prominently visible and easy to cannulate.
2. Identify the appropriate site, clean the site as per the unit policy. Once the skin is
prepared, no tapping/ or touching over the site
3. Insertion and Fixation of intravenous (IV) cannula / Scalp vein set
4. Secure cannula after insertion with tapes/ transparent tape. Keep visibility of cannula
tip area above skin insertion. This allows early detection of extravasation.
5. Use splint to immobilize joint.
6. Attach intravenous infusion line.
PROCEDURE
(FOLLOW ASEPSIS ROUTINE AND STANDARD PRACTICE )
7.Document timing of intravenous access and medications given.
8. Monitoring
- Infusion flow rate
- Leaking from cannula site / connection
- Extravasation (swelling, redness)
- Blockage (non-passage of fluid / medication)
9. ( To keep the patency of the canula)
- Wipe the canula cap with spirit/70% iso propyl alcohol. Remove the cap
- Keep it on sterile area - Flush 0.5 ml normal saline to ensure patency
- Replace cap
- Discard the used article as per biomedical waste management policy .Wash hands.
MONITORING IV LINES
PURPOSE
• To prevent complications of IV therapy.
• To promote early detection and treatment of complications
POINT OF EMPHASIS
• If signs of inflammation are present, IV infusion must be stopped.
• The responsible physician to be consulted immediately for action.
• Change IV site
• Observation of the system every one hourly for
• Rate
• Patency
• Air within the line
• Precipitation and site condition
POINT OF EMPHASIS
• Documentation of the site condition every one hourly on the flow sheet.
• Observation of the site every one hourly for
• Interstitial leakage
• Warmth
• Pain
• Redness
• Exudate ,edema
• Loss of limb function
POINT OF EMPHASIS
• Observation of the following complications
a)Infiltration- leakage of IV fluid into the interstitial tissue. Observe for puffiness and color change around
site. Flush gently.
b)Phlebitis-chemical or physical irritation. Observe for redness, warmth.
c) Clotting-may result from phlebitis. Confirm patency by gently flushing with NS
d) Blanching at the site-needle may be in the artery or may be interstitial
• Check both proximal and distal to IV site, and if any of the above condition exists, remove
IV line
THANK YOU

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BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
 

IV Canulation

  • 2. PURPOSE • Administration of fluid therapy • Stabilization of sick newborn • Administering intravenous medications • Infusion of blood products
  • 3. EQUIPMENTS • Scalp vein set / cannula 24/26G • Syringe • Normal saline • Cotton • Alcohol, betadine/ povidone iodine • Splint Tape, • Scissors • Sterile gloves
  • 4. POINTS TO REMEMBER • Intravenous access may be initiated by physician or a neonatal nurse practioner. • The nurse is also expected to - Prepare all materials. • Help in identification of suitable vein. • Assist in immobilization i.e., taping and splinting. • Connect intravenous fluid and monitor infusion rate. • Administer IV medications.
  • 5. PROCEDURE (FOLLOW ASEPSIS ROUTINE AND STANDARD PRACTICE ) 1. Wash hands and assist by physician by holding the extremity and making the vein prominently visible and easy to cannulate. 2. Identify the appropriate site, clean the site as per the unit policy. Once the skin is prepared, no tapping/ or touching over the site 3. Insertion and Fixation of intravenous (IV) cannula / Scalp vein set 4. Secure cannula after insertion with tapes/ transparent tape. Keep visibility of cannula tip area above skin insertion. This allows early detection of extravasation. 5. Use splint to immobilize joint. 6. Attach intravenous infusion line.
  • 6. PROCEDURE (FOLLOW ASEPSIS ROUTINE AND STANDARD PRACTICE ) 7.Document timing of intravenous access and medications given. 8. Monitoring - Infusion flow rate - Leaking from cannula site / connection - Extravasation (swelling, redness) - Blockage (non-passage of fluid / medication) 9. ( To keep the patency of the canula) - Wipe the canula cap with spirit/70% iso propyl alcohol. Remove the cap - Keep it on sterile area - Flush 0.5 ml normal saline to ensure patency - Replace cap - Discard the used article as per biomedical waste management policy .Wash hands.
  • 8. PURPOSE • To prevent complications of IV therapy. • To promote early detection and treatment of complications
  • 9. POINT OF EMPHASIS • If signs of inflammation are present, IV infusion must be stopped. • The responsible physician to be consulted immediately for action. • Change IV site • Observation of the system every one hourly for • Rate • Patency • Air within the line • Precipitation and site condition
  • 10. POINT OF EMPHASIS • Documentation of the site condition every one hourly on the flow sheet. • Observation of the site every one hourly for • Interstitial leakage • Warmth • Pain • Redness • Exudate ,edema • Loss of limb function
  • 11. POINT OF EMPHASIS • Observation of the following complications a)Infiltration- leakage of IV fluid into the interstitial tissue. Observe for puffiness and color change around site. Flush gently. b)Phlebitis-chemical or physical irritation. Observe for redness, warmth. c) Clotting-may result from phlebitis. Confirm patency by gently flushing with NS d) Blanching at the site-needle may be in the artery or may be interstitial • Check both proximal and distal to IV site, and if any of the above condition exists, remove IV line