GREETING LADIES AND GENTLE MAN

In this video, I will be showing how to safely monitor IV Infusions

IV INFUSION OR INTRAVENOUS INFUSION ISA THE INFUSION OF FLUID INTO A VEIN TO PREVENT OR
TREAT FLUID ANMD ELECTROLYTE IMBALANCES, ADMINISTER DRUGS, AND BLOOD PRODUCTS.

In this video, I will be performing how to safely monitor IV Infusions

This is to protect the site from infection

Provide safe iv therapy

 To make the client comfortable with IV therapy.

 To distinguish any complications as soon as possible

Without further ado, lets get right into this video

THERE ARE VARIOUS PURPOSES OF IV INFUSTION, SUCH AS:

TO SUPPLY FLUIDS WHEN PX ARE UNABLE TO TAKE IN ADERQUATE FLUIDS BY VOLUME BY MOUTH

TO PROVIDE SALTS NEEDED TO MAINTAIN ELEC IMB

TO PROVIDE GLUCOSE (DEXTROSE) the main fule for metabolism

To provide water soluble vitamins and medications

To establish a lifeline for repidlily needed meds

To provide the appropriate means for administering blood and blood products

And to restore acid base balance

Materials

1. Tray (1)

2. Alcohol swab

3. Dry gauze or cotton

5. IV infusion set if required

6. Kardex, client’s record

7. Kidney basin/tray (1)

Generally, in monitoring the IV Infusion, the nurse needs to assess for the following:

 Appearance of infusion site; patency of system

 Type of fluid being infused and rate of flow

 Response of the client

The nurse also needs to

Review the client record regarding previous infusions and use of infusion devices.

It is also important to note any complications and how they were managed. Gather the
pertinent data.

Good morning sir, ako gale si ivan matthew superio, imo nga student nurse for today halin sa
west Visayas state university. Ma ask lang ko tane sir imo name?
Okay so bale subong sir ma takod kita sang dextrose mo sir or IV. Bale maka paabulig ni sya sir
supplement sang kulang nga tubig kag electrolyes kag sustansya sa imo lawas. Dason bangong
kay plain normal saline ni sya, pwede ni sya I samo inkaso mag order ang doctor sang blood
tranfustion sa imo. Pwede man ni sya sir ma samuan sang imo mga bulong.

Bale sir hambal ka lang sir kung maka batyag ka sakit, palang man-ol, or alay sa aton nga site
kung diin ko I takod ang imo nga dextrose.

Tandaan mo man sir nga ga may flow rate kita nga gina sunod sa imo nga IV. Amo ini sya kng
kadasigon sang pag tubod sang imo nga IV sa imo lawas. Possible nga mag lain ni sya sir kung
mag hulag2 ikaw sir or kung manaog ang imo IV so bantay banatayn nalang naton sir ha?

Kung matyag mo sir manog ubos na imo IV, or matyag mo daw nag hinay iya tubod pwede mo
magamit ang aton nga call light para tawgon akon para ma islan or I regulate ang IV. Kung
gusto mo man sir assistance kung mag lakat or mag pa cr, pwede mo man ako sir tawgon.

Bale sir

Introduce self and verify the client’s identity using two identifiers. (ID band and asking client
his/her name). This ensures the right patient is given the right treatment.

It is also important to explain to your patient the procedure, why it is necessary, and how he or
she can participate.

Cognitive and sensory information decreases anxiety and helps promote cooperation.

Monitor IV infusions several times a shift. More frequent checks may be necessary if
medication is being infused.

First thing you need to do is to check the kardex and the doctors order, by doing so, you’d be
able to know what type of infusion is to be used, the flow rate, and what medications and blood
products are to be incorporated with the solution
Next you need to solve:

1L PNSS is to be infused within 12 hours with intrafix which has a drop factor of 20.

This would yield 28 drops per minute

Before attaching the procedure always remember to check the solution side by side with the
doctors order, and if possible, have another nurse check it with you to ensure that you are
giving the right solution to the right patient.

Now put a place a label on the solution, near the clamp, and near the IV site. Labels make it
easier for you to determine what types of medications are being used through that line. Other
than that it will also help you whenever you are regulating so wouldn’t have to go back and
check the flow rate back at the station. It should also indicate what time the infusion will be
empty

Labels are a foolproof way to ensure safety for the patient

Ideally, you should also mark the solution to ensure that you infuse the right volume of fluids at
a certain point of time

Clean the port where you are going the be inserting the spike to ensure sterility.

Using your gloved hand, spike the solution

Hang the solution, prime the tubing and insert it the the site accordingly.

Make sure that the client is comftable by placing a pillow and a splint beneath the used handif
preffered

Monitor IV infusions several times a shift. More frequent checks may be necessary if
medication is being infused.
b. Check drip chamber and flow rate if IV is not regulated by an infusion control device.

c. Check tubing for anything that might interfere with flow. Be sure that clamp is in the open
position. Observe dressing for leakage of IV solution.

d. Observe settings, alarm, and indicator lights on infusion control device if one is being used.

CINEMTAICS

. Be alert for additional complications of IV therapy.

a. Circulatory overload can result in signs of cardiac failure and pulmonary edema. Monitor
intake and output during IV therapy.

b. Bleeding at the site is most likely to occur when the IV is disconnected.

CALL LIGHT

If possible, instruct patient to call for assistance if any discomfort is noted at site, solution
container is nearly empty, or flow has changed in any way.

CINEMATICS

10. Safeguard the site and be aware of tubing and pump during transfers, ambulation, or other
activities.

12. Wear gloves when changing dressings or tubing.

13. Be sure to double-check all clamps when changing tubing, adding medications, or removing
I.V. tubing (from a pump or controller).

14. If the rate of flow is not regulated properly, it could result in the client receiving a bolus of
mediation.

15. Always check to make sure medications, solutions, or additives are compatible before
adding them to existing solutions.
16. Protect the I.V. site from getting wet or soiled.

17. If the client will be away from the nursing unit for tests or procedures, be sure there is
adequate solution to be infused while he/she is gone.

Change the I.V. dressing if it becomes wet or contaminated with drainage. Transparent semi-
permeable dressings should be changed every 5-7 days and gauze dressings should be changed
every two days.

12. Wear gloves when changing dressings or tubing.

If the infiltration involves a vesicant, it is called extravasation. If present, stop the infusion
immediately.

Inspect site for redness, swelling, heat, and pain at the IV site, which may indicate phlebitis is
present. IV will need to be discontinued and restarted at another site. Notify physician if you
suspect that phlebitis may have occurred. Palpate site.

Document relevant information.

Record the status of the IV insertion site and any adverse responses of the client.

Monitor Client’s IV fluid intake at least every 8 hours according to agency policy. Include the
time; amount and type of solution used; container number; flow rate; and the client’s general
response. In most agencies, the amount remaining in each IV container is also recorded at the
end of the shift.

If 1L PNSS is to be infused within 8 hours with intrafix which has a drop factor of 20.

This would yield 28 drops per minute