IV Delivery Methods
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This document discusses various methods for intravenous (IV) delivery, including the veins used, types of infusion (continuous, intermittent, direct injection), equipment like administration sets, pumps, and rate reminders, maintaining accurate flow rates, calculating and regulating flow rates, documentation, and maintenance and discontinuation of IV therapy. It emphasizes making the right choice of delivery method and equipment, attending instruction sessions to learn equipment use, labeling bags and sites, and patient teaching.
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IV Delivery Methods
- 2. IV routes
- 5. Basic methods for delivering IV therapy
- 6. Veins used in IV therapy Internal jugular External jugular Superior vena cava Left subclavian Cephalic Basilic Median cubital Median antebrachial Accessory cephalic Dorsal venous arch Metacarpal Digital
- 8. Veins used in IV therapy
- 12. Making the right choice!
- 17. Direct injection
- 22. Infusion flow rates Maintaining accurate flow rate for the solutions Runs to fast or too slow Volume – control devices & correct administration set Familiar with all information in the doctor’s order
- 27. IV clamps
- 28. Pumps Developed all the time Be sure to attend instruction sessions to learn how to use them Keep a file of instruction manual
- 31. Patient – controlled analgesia pumps (PCA)
- 32. Rate reminder Added to the IV tubing. Sets it to the desired flow rate, you adjust the clamp to deliver that rate. Be sure to label the infusion bag with the rate in milliliters per hour.
- 33. Rate reminder Don’t deliver infusions at rates lower than 5 – 10 ml/hr Adult patients and noncritical infusions
- 35. Documentation
- 36. Forms
- 37. Documentation of IV therapy When therapy is initiated, label the dressing on the catheter insertion site & the fluid container according to facility policy & procedures & document… Abbreviations
- 40. Maintenance
- 41. Discontinued
- 42. Discontinued
- 43. Patient teaching
- 46. Thank you
Editor's Notes
- Continuous – allows carefully regulated amount of fluid over a prolonged period.Intermittent – a solution (commonly a medication such as an antibiotic) given for shorter periods at set intervals. Direct – (sometimes called IV push) used to deliver single dose (bolus) of a drug.
- Advantages
- Disadvantages
- Secondary line is usually connected or piggybacked into the primary line by way of a Y – site ( y – shaped section of tubing with a self – sealing access port)
- Types of IV setsVented – plastic bags and some bottles.Other features & optionsIv administration sets comes with features as well, including ports for infusing secondary medications and filters for blocking microbes, irritants, or large particles. The tubing also varies. Some types are designed to enhance proper functioning of devices that help regulate the flow rate. Other tubing is used specifically for continuous or intermittent infusion or for infusing parenteral nutrition or blood.
- Maintain precise IV flow rates, use an infusion control device
- It resembles a roller clamp.Added to the IV tubing.Sets the rate minder to the desired flow rate, you adjust the clamp to deliver that rate.Be sure to label the infusion bag with the rate in milliliters per hour.
- Some limitations. Don’t deliver infusions at rates lower than 5 – 10 ml/hrMainly for adult patients and noncritical infusions.
- Assess flow rates more frequently in patients