1. Nursing Care of Patients Receiving IV Therapy
Chapter 7
Nursing Care of Patients Receiving IV Therapy

2. Intravenous (IV) Therapy
The Administration of Fluids or Medication Via a Needle or Catheter (Cannula) Directly Into the Bloodstream

3. Indications for IV Therapy
Hydration
Electrolyte Replacement
Nutrition (PPN or TPN)
Medication Administration
Blood Product Transfusions

4. Types of Infusions Continuous Intermittent Direct Injection/IVP
Piggy Back
Injection Caps
Direct Injection/IVP

5. Methods of Infusion Gravity Drip Electronic Infusion Devices (EIDs)
Mechanical Controllers

6. Factors Affecting Flow
Change in Catheter Position
Height of Solution
Patency of Catheter

7. Calculation Practice
You need to administer 1,000 mL of 0.9% sodium chloride over 6 hours. You have tubing with a drop factor of 10. How many drops per minute will you deliver?

8. Calculate Drip Rate 1,000 mL 1 hour 10 gtt = 28 gtts 6 hours
60 minutes
1 mL
min

9. Types of Fluids Dextrose Solutions Sodium Chloride Solutions
Balanced Electrolyte Solutions

10. Osmolarity of IV Solutions
Isotonic
e.g., 0.9% Sodium Chloride
Hypotonic
e.g., 0.45% Sodium Chloride
Hypertonic
e.g., Dextrose 5% in 0.9% Sodium Chloride

11. Access
Peripheral
Central

12. Starting a Peripheral Line

13. Nursing Care
Fear
Impaired Physical Mobility
Risk for Infection

14. Gerontological Issues
Monitor for Fluid Overload
Elevated Blood Pressure
Increasing Weight
Bounding Pulse
Shallow, Rapid Respirations
Jugular Venous Distention (JVD)
Increased Urine Output
Crackles

15. Local Complications Hematoma Thrombosis Phlebitis
Infiltration/Extravasation
Local Infection
Venous Spasm

16. Systemic Complications
Septicemia
Circulatory Overload
Venous Air Embolism
Speed

17. Central Venous Catheters
Types
Non-tunneled Central Catheter
Tunneled Catheter
Picc
Ports
Rationale for Use

18. Central Venous Catheters (cont’d)
Please refer to figure 6.8C, page 88. Tunneled catheter.

19. Nutritional Support Rationale Contents
For Patients Unable to Eat or Tolerate Tube Feedings
Contents
Carbohydrates (CHOs)
Amino acids
Electrolytes
Trace Elements
Vitamins
Lipids

20. Nursing Care of Patients Receiving TPN
Initial and Ongoing Assessment
Monitor Blood Glucose
Monitor Signs and Symptoms of Infection
Initiate and Discontinue Slowly

21. Home IV Therapy Fluid Replacement Treatment of Infection
Nutritional Support