What a site to see?
How often should you change the PIV site?
Every 72 hours or according to facility policy.
BP cuff
IV solution leaked into the subcutaneous tissue
Infiltration
First step to treating complication
Stop infusion and remove PIV
Client routine care
20-22
Without contraindication, what is the most appropriate site to start with?
Distal vein on the non-dominant extremity.
Device used to keep arm straight for children
Arm board
Leak of a vesicant and tissue damage is likely
Extravasation
Treatment of Extravasation
Receiving blood products
18G
If the PIV must be placed on the same extremity, where should it be placed?
Proximal to the previous site.
Tourniquet used for infants
Rubber band
Pallor, localized swelling, decreased temp, were dressing w/o tissue damage
Infiltration
Elevate extremity, ROM, apply warm compress to PIV site
Treatment for infiltration
Needing surgery
18-20G
More prone to phlebitis and cellulitis. Should be avoided as PIV site.
Lower Extremities
Hairy site that needs tourniquet to distend vein.
Use paper towel or cloth
Edema, throbbing, burning, and pain at site, slowed infusion rate, red line up the arm with a palpable band at the vein site
Phlebitis
Warm compress 3-4 times a day, restart PIV in another extremity, and obtain specimen culture at insertion site.
Treatment of Phlebitis
Infant or child client
22-24G
5 Reasons to avoid a site
1. Impaired sensitivity
2.Lymph node removal
3. Recent infiltrated tissue
4.PICC line
5.Fistula
Client is obese or has edema. What to do?
Apply pressure over selected vein
Pain, warmth, edema, induration at site, red streaking, fever, chills, and malaise.
Cellulitis
Administer antibiotics, antipyretics, and analgesics
Treatment of cellulitis
16G