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Sheila Power Points about IV Therapy - Complications

What type of systemic complications can we observe in patients?

Fluid overload
Air embolism

Fluid overload. What are the signs&symptoms? What can we do without the MD order immediately? What do we monitor and access? What position should we put the patient in? What kind of complications can we anticipate?

Moist crackles
weight gain
shallow respirations with increase HR
We should decrease the IV rate (without MD order)
Monitor and access VS, breath sounds, and place patient in Fowler's position
Complications are heart failure and pulmonary edema.

To prevent Fluid Overload, what can we do?

Monitor infusion and maintain flow at prescribed rate
Recalculate flow rate if necessary
Monitor I&O
know the cardiac and renal history of patient

How do we treat it?

Decrease IV flow rate
High Fowler's
Keep patient warm to promote peripheral circulation
Administer O2
Consider using a microdrip set-up

Air embolism. What type of lines is it associated with the most? What are the manifestations? What can it lead to?

Central Lines
weak rapid pulse
chest pain
shoulder and/or back pain
loss of consciousness
It can lead to shock and cardiac arrest

Air embolism. What to do?

Clamp cannula
Place patient on their left side in Trendelenburg position
Access vital signs+breath sounds+administer oxygen

Septicemia. What is it? What are the signs&Symptoms? What are the causes? What to do?

It is a pathogenic bacteria entering the blood stream
Abrupt temperature elevation
increase pulse and respirations
shaking chills
Causes: Contamination of IV product, break in aseptic technique
Culture tubing and treat with antibiotics

How can we prevent Septicemia?

Hand hygiene
strict aseptic
examine tubing
anchor tubing
inspect IV site regularly
remove IV site at first sign of infection
replace peripheral line every 3 days

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