1
What are the pros and cons of using the type of medication you are teaching?
Pros:
Easy to insert
Less invasive compared to a central iv
Medication enters the bloodstream faster
Cons:
PIVs only last 48-72 hours so they need to be replaced frequently
When would you assess for efficacy?
Before and after every use
Discomfort at the IV site
Erythema or swelling at the IV site
When new medication is being administered
When receiving a vesicant medication
If you have peripheral lines, what are important considerations related to using them for medication administration?
-allergies
-Check the IV site for s/sx of infection.
-medication compatibility
-rate of admission/ location
-How hard of a stick
-Could patient potentially rapidly destabilize
-Does patient need IV meds or fluids
How do you assess for efficacy?
Visual inspection
Palpation of the site
Saline flush
Checking for blood return
Why do the side effects happen?
Vein trauma: occurs when IV insertion is done incorrectly
Improper care can lead to infection
Giving drugs too fast can cause burning and localized pain
What do patients need to know?
The IV is a small hollow tube that is inserted into a vein to allow medication to go directly into the bloodstream
They should not pull or tug their IV or they would need another one placed
They are at a higher chance of infection, so keep area clean
Notify nurse of pain, discoloration, or coolness around IV site
what does PICC stand for?
Peripherally inserted central catheter