IV Therapy, IV Insertion & Cautions Nursing | Intravenous Insertion DEMO

Summary

This 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.