IV Therapy

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Lecture Series

IV Therapy: PIV to CVC


Dan Thorward MS, RN, CCEMT-P

Dan Thorward MS, RN, EMT-P

A.A.S. Emergency Medical Services

A.D. Nursing
B.S. Health Professions

B.S. Nursing
M.S. Nursing Education
PhD Student Leadership
CCEMT-Paramedic
BLS Instructor, OSUMC

1.

Responding to Emergencies

2.

IV Therapy: PIV to CVC

3.

Cardiology and EKG

4.

Labs for Clinical Practice

Dans Disclaimer
I have no significant relationships with any
pharmaceutical company or manufacturer.
This is not an official AHA course. The
information provided is for professional
development only.

ACLS Instructor, OSUMC


Nurse Manager, James Intensive Care

IV Therapy: PIV to CVC

Indications

Indications

Dehydration

Equipment/Set-up

Hypovolemia

I have an order -now what?

Medication administration

What to watch for

Blood Product administration

Central lines

Emergency access

A-lines

Equipment/Set-up

Fluid types

I have an order -- now what?

Tubing

Micro-drip tubing (60gtts/mL)


Macro-drip tubing (10-15gtts/mL)

Angiocatheter

Securement Device

What to watch for

Early Signs

Heat
Bruising
Redness
Necrosis

Arterial Lines

Central Lines

Swelling
Pain
No blood return

Late Signs

Monitor BP in real
time
ABG and blood
draw accessibility
Used in
hemodynamically
unstable patients

Take a deep breath -- this is not an emergency


Gather and check your equipment
Explain procedure to patient
Apply tourniquet and find vein
Clean site thoroughly
Start IV
Secure IV

Isotonic (0.9NS, Lactated Ringers, D5W)


Hypotonic (.45NS, D5.45NS)
Hypertonic (Albumin, 3%NS)

Types of lines

PICC, CVC, Dialysis


Ports

Arterial vs. Venous

Maintenance of lines

Dressing changes,
Accessing lines

Summary

Indications

Equipment/Set-up

I have an order -- now what?

What to watch for

Central lines

A-lines

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