IV Therapy, IV Insertion & Cautions Nursing | Intravenous Insertion DEMO
Summary
TLDRThis video script discusses Intravenous (IV) Therapy, highlighting its rapid absorption and consistent therapeutic levels as advantages, while cautioning against the risks of fluid overload and infection. It differentiates between short-term and long-term IV access, detailing the use of peripheral veins for short-term and central lines for extended treatments. Special attention is given to the high infection risk associated with central lines. The script also advises against using certain locations for peripheral IVs, such as areas with nerves or valves, in paralyzed arms, or in patients with a history of mastectomy or dialysis. It concludes with a reminder that IV infusions are medications requiring a healthcare provider's prescription.
Takeaways
- 🚀 IV Therapy is administered through peripheral veins for the fastest route of medication delivery into the body.
- 🔁 Advantages of IV include quick absorption, consistent therapeutic blood levels, and less damage compared to other routes like subcutaneous, intramuscular, rectal, or oral administration.
- ⚠ Disadvantages include risks of fluid volume overload, infection, infiltration, and other issues related to IV administration.
- 🏥 Types of IV access are divided into short-term (e.g., in a hospital setting for days or weeks) and long-term for extended drug therapy.
- 🌡 Short-term IVs are given through peripheral veins, such as AC or anticubital near the elbow, or in scalp veins for newborns.
- 🏥 Long-term IVs include Central lines like CVCs (Central Venous Catheters) placed below the collar bone and PICC lines (Peripherally Inserted Central Catheters) inserted into the upper arm vein.
- 🛡 High risk of infection is associated with Central lines, which is a significant concern.
- ❌ Avoid inserting short-term peripheral IVs in certain locations: anterior olecranon vein, near valves, in paralyzed arms, post-mastectomy arms, and areas with fistulas or grafts, as well as varicose veins and scar tissue.
- 💊 IV infusions are not just for fluids but also for medications that require a doctor's or healthcare provider's prescription, specifying type, volume, and rate.
- 📅 The video script also mentions a pop-tested topic regarding when to change IVs, although the specifics are not included in the provided transcript.
- 📚 Additional resources for nursing students are available beyond YouTube, with over 900 videos and study guides on simplenursing.com.
Q & A
What is the fastest route to administer medication into the body?
-The fastest route to administer medication into the body is through Intravenous (IV) Therapy, which is administered through peripheral veins.
What are the advantages of IV Therapy?
-The advantages of IV Therapy include quick absorption, maintaining a consistent therapeutic level in the blood, and causing less damage compared to other routes such as subcutaneous, intramuscular, per rectum, or oral administration.
What are the potential disadvantages of IV Therapy?
-Disadvantages of IV Therapy include the risk of fluid volume overload if fluids are given too fast, infection, infiltration, and other complications associated with IV Administration.
What are the two types of IV access mentioned in the script?
-The two types of IV access mentioned are short-term and long-term. Short-term access is typically given through regular IVs in peripheral veins, while long-term access includes central lines for extended drug therapy.
What is an example of a short-term IV location?
-Examples of short-term IV locations include the antecubital fossa near the elbow, the hand, foot, or scalp in newborns, as the head is very vascular.
What are examples of long-term IV access methods?
-Examples of long-term IV access methods are Central Venous Catheters (CVCs) and Peripherally Inserted Central Catheters (PICC lines), which are used for long-term drug therapy such as IV antibiotics or chemotherapy.
Where is a Central Venous Catheter (CVC) typically placed?
-A Central Venous Catheter (CVC) is typically placed right below the collar bone, with the catheter going directly into the top of the right atrium.
What is a major problem associated with all Central lines?
-The major problem associated with all Central lines is the high risk of infection.
Which locations should be avoided when administering short-term peripheral IVs?
-Locations to avoid when administering short-term peripheral IVs include the anterior olecranon vein, areas near valves, paralyzed arms, arms with a history of mastectomy, and areas with fistulas or grafts used in dialysis patients.
Why should varicose veins and scar tissue areas be avoided for IV insertion?
-Varicose veins and scar tissue areas should be avoided for IV insertion due to the potential for complications and difficulty in maintaining the IV line.
What is a common misconception about IV infusions among students?
-A common misconception is that IV infusions are just water or normal saline, but in reality, they are medications that require a doctor's or healthcare provider's prescription, including the type, volume, and rate of administration.
When should IVs be changed according to the script?
-The script does not provide specific guidelines on when to change IVs, but it implies that there are tested topics and standards regarding this, which should be followed.
Outlines
💉 Introduction to IV Therapy
IV therapy involves administering medication through peripheral veins, making it the fastest route to deliver drugs into the body. It offers quick absorption, consistent therapeutic levels in the blood, and less damage compared to other routes such as subcutaneous, intramuscular, rectal, or oral administration. However, it also poses risks like fluid volume overload, infection, infiltration, and other complications.
📅 Types of IV Access: Short-Term and Long-Term
Short-term IV access is typically used in hospital settings for a few days to weeks and involves peripheral veins, such as those in the antecubital area, hand, foot, or scalp (in newborns). Long-term IV access, including central lines like CVCs and PICC lines, is used for extended drug therapy such as chemotherapy or total parenteral nutrition. Central lines have a higher infection risk due to their direct access to major veins near the heart.
🚫 Locations to Avoid for Peripheral IVs
When inserting peripheral IVs, avoid the anterior olecranon vein, areas near valves, paralyzed arms, arms with a mastectomy, and limbs with fistulas or grafts for dialysis. Also, avoid varicose veins and scar tissue areas to prevent complications.
💊 Important Considerations for IV Medications
IV infusions are considered medications that require a doctor or healthcare provider's prescription, specifying the type, volume, and rate of administration. This emphasizes the importance of understanding that IV infusions are not just fluids but medications that need precise management.
📝 Conclusion and Additional Resources
The video concludes with a reminder to change IVs regularly, take quizzes, download study guides, and share the information with classmates and instructors. Additionally, viewers are encouraged to visit simplenursing.com for access to over 900 nursing videos not available on YouTube.
Mindmap
Keywords
💡IV Therapy
💡Absorption
💡Fluid Volume Overload
💡Infection
💡Short-term IV Access
💡Long-term IV Access
💡CVC (Central Venous Catheter)
💡PICC Line
💡Anterior Cubital Vein
💡Paralyzed Arm
💡Fistula or Grafts
💡Varicose Veins and Scar Tissue
Highlights
IV Therapy is the fastest route for medication administration through peripheral veins.
Advantages of IV Therapy include quick absorption and maintaining consistent therapeutic levels in the blood.
Disadvantages include fluid volume overload, infection, infiltration, and other IV administration problems.
Types of IV access are categorized into short-term and long-term.
Short-term IVs are given through regular IVs in peripheral veins, typically in a hospital setting.
Long-term IVs are used for extended drug therapy, such as IV antibiotics or chemotherapy.
Central venous catheters (CVCs) are used for long-term IV therapy and are placed below the collar bone.
Peripherally inserted central catheters (PICC) lines are inserted into the upper arm vein and guided to the superior vena cava.
Central lines carry a high risk for infection.
Avoid placing short-term peripheral IVs in certain locations to prevent complications.
Locations to avoid for peripheral IVs include the anterior olecranon vein, near valves, and in paralyzed arms.
Do not use arms with a history of mastectomy or fistula/grafts for IV insertion.
Varicose veins and scar tissue areas are not suitable for IV insertion.
IV infusions are medications that require a doctor's or healthcare provider's order.
Only 20% of educational content is available on YouTube, with over 900 videos on simplenursing.com.
When to change IVs is a tested topic in nursing education.
Encouragement to take quizzes, download study guides, and share educational content with peers and instructors.
Transcripts
now for IV Therapy remember IV
Administration through peripheral veins
is the fastest route to give any
medication into the body and there are
advantages and disadvantages here so for
advantages we have absorption that is
very quick keeps a consistent
therapeutic level inside the blood and
less damage than other routes for
example subq IM PR or even po now the
disadvantages here are fluid volume
overload if a fluid is given too fast
as well as infection infiltration and
all the other problems with IV
Administration which we're going to go
into in a short bit now for types of IV
access we have shortterm and long-term
for short-term these are given through
regular IVs in peripheral veins remember
shortterm means hospital setting for a
few days or even weeks an example is an
AC or anticubital near the elbow hand
foot or even newborns we often give
these IVs in the scalp because the head
is very vascular and for longterm are
Central lines for long-term drug therapy
here like IV antibiotics or tpn or
clients with cancer on chemotherapy
examples of these are cvc's as well as
pick lines now a CVC is a central venous
catheter typically placed right below
the collar bone and the catheter goes
directly into the top of the right
atrium and a pick line is a peripherally
inserted Central catheter inserted
directly into the vein of the upper arm
guided or threaded into a large vein
right above the right side of the heart
called The Superior venne Cava now the
big problem with all Central lines here
is infection they have a high risk for
infection so please be sure to write
that down now Switching gears on those
short-term peripheral IVs we want to
avoid these locations
the anterior oler vein there's too many
nerves or even near valves you guys can
see bumps under the skin inside of a
vein and that indicates a valve most
often another one here is paralysis or a
paralyzed arm do not put a peripheral IV
in a paralyzed arm or even clients with
masectomy who have a removal of breast
tissue typically from breast cancer
there's a removal of lymph nodes so do
not use those arms for a peripheral IV
and another big one here is fistula or
graphs this is for clients on dialysis
and usually in endstage renal failure so
do not use these arms to put an IV into
and lastly is varico veins and Scar
Tissue areas we do not want to use these
locations to insert any IVs into now a
little side note here that most students
get wrong remember Ivy infusions are
medications hey there nursing student
listen up did you know only 20% of our
videos are here on YouTube you're
missing out on over 900 videos not on
YouTube try it for free visit
simplenursing.com
today it's not just water or normal
sailing it's an actual medication that
needs a doctor's order or an hcp's order
so an hcp must prescribe the type the
volume or the amount and also the rate
all right now moving on to a pop tested
topic here when to change IVs all right
that wraps it up thank you so much for
watching don't forget to take your quiz
and download the study guides and also
feel free to share the love share with a
classmate and even your instructor see
you guys in the next
videos
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