IV Insertion Tagalog

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Ayan Tegaderm, Although hindi pa widely used sa public hospital, ito yung mas magandang

gamitin para sa insertion site instead of micropore para maiwasang magalaw ang IV Canula.
IV Cannula, alam naman na natin kung ano yan,
Splint, more common gamitin ito sa mga infants kasi nga malilikot, pero ginagamit parin naman
ito whnever the situation to to do so arise. Ito ay nakaktulong para ma-isolate ang movement
ng kamay at mabawasan ang risk na mahugot or mag-kink ang IV Line.
IV Site Protector, as the name implies, pinoprotektahan nito ang iv site, upang maiwasan ang
magkatanggal ang IV cannula at maiwasan ang complications tulad ng phlebitis,
thrombophlebitis, infiltration at syempre pati na rin ng infection.
Injection port, IV Extension tubing, Ito yung nakikita natin madalas na may parang rubber cap sa
IV line, ginagamit ito para maginfuse ng gamut ng hindi na nangangailangan pang mag-inject
muli sa pasyente, syempre may masama na silang nararamdaman, dadagdagan pa ba natin?

Nursing Consideration
Cannula Considerations
The choice of cannula should be of the smallest gauge that will accommodate the prescribed
therapy. This will allow for sufficient blood flow around the cannula. The larger the gauge
number, the smaller the bore of the cannula. Choices of cannula size include:
● 16g to 18g – trauma, major surgery, obstetric surgery, administration of viscous fluid, blood
and blood products.
● 20g- acceptable for most adults patients, older children.
● 22g- acceptable for most patients, pediatric patients, and the elderly.
● 24g- neonates, pediatric patients, the elderly
● 26- neonates
Gauge is yung size ng butas ng canula, It is necessary na we take into consideration the size of
the Cannula syempre para dadaloy padin ang dugo around the canula sa loob ng blood vessel.
Mas maliit na number, mas malaking butas.

Select Insertion Site


When selecting an IV site, assessment of the patient’s condition, vein condition, vein size and
location, patient age, and the type and duration of therapy should be done to insure ideal and
safe IV access. The most distal sites should be used first, so that you can move proximally as
needed. If possible, the non‐dominant arm should be used. If the insertion site is visibly soiled,
it should be cleaned first with soap and water. Do not use previously used veins, and injured or
sclerotic veins. Avoid areas with scar tissue (Smith‐Temple & Johnson Young, 2010).
When choosing a site for IV therapy, the antecubital area should not be used in the patient who may
need a peripherally inserted central catheter (PICC). Veins should not be used in the affected arm of an
axillary dissection or in the arm of a dialysis AV fistula. Only one device should be utilized for each
attempt; never reuse a catheter. Stylets should never be reinserted into the cannula when attempting IV
access.

Syempre kung mamimili tayo ng vein na iinsertan ng IV Cannula, kailangan yung healthy na vein. Jan
papasok yung necessity an iassess ang kundisyon ng pasyente, kung healthy bsa yung vein, yung size at
location ng vein, diba kadalasan hinahanap natin ang pinakapronounced na vein at yung straight para
madaling i-insert. Kailangan din natin iassess yung age ng patient at yung type at duration ng therapy,
kasi pag geriatric naroroll yung veins at may techniques nang kailangan gawin para maprevent yun.

Prefrred ang non dominant hand para sa IV insertion at yung distal part ang ideal na gamitin. Obviously
kailangan natin linisan ang insertion site para maiwasan ang contamination or infections. Hindi rin natin
pwedeng gamitin yung veins na nasaksakan na ng IV before, kasama na rin yun injured or sclerotic veins.
Last time nung face to face pa sa Delivery room, may classmate akong nag-iinsert ng IV, nagrupture yung
vein kasi hindi nainsert ng maayos at mabilis, ang ending sa kabilang kamay na nag-insert. At syempre
pag nagkamali sa unang attempt, hindi na pwedeng ulitin ang needle, kuha na ng bago.

Complications

■ Inability to identify a vein for catheter placement.

Kadalasan maeexperience natin to sa bigger patients where hindi pronounced ang kanilang
veins at kailangan talaga nating hanapin ng maigi at kung wala talaga minsan binablind shot na
natin.

■ Failing to get a “flash” once the catheter is inserted.

Tulad sa kanina ng sinabe ko, pag binlind shot, mataas ang chance na hindi tayo makakatama ng
ugat, pag di nagkaron ng flash or ng backflow ng dugo sa cannula, ibigs sabihin wala tayong
tinamaan

■ A flash appears, but there is no further blood flow.

So may flash, kaso konting lang at di na nagkaron ng flow, maari ito ay tumagos sa vein yung
needle, lumagpas kung baga.

■ Failing to thread the catheter into a vein after the needle is retracted.

Possible na hindi pa masyadong naipasok ng maigi yung catheter sa vein, Nakita lang yung flash
eh hinugot na gad ng diretso yung needle at hindi na naidiretso yung catheter sa loob.
■ Infiltration; remove the catheter and apply pressure.

Infiltration, ito yung naglileak na yung fluid out of the vein into the surrounding soft tissue,
mapapansin natin na medyo namamaga na yung site, may tightness of skin at complaint na
masakit yung iv site from the patient. Kadalasan nangyayari to pag hindi maayos yung
pagkakalagay or medyo nahugot yung catheter from the vein.

■ Kinking of the catheter; usually the catheter must be removed.

Ito yung masyado nang nag-bend yung catheter na na-cutoff na yung flow ng iv at kadalasan
nagkakaron na ng backflow pataas. Usually sa gantong situation papalitan na yung IV

■ The IV cannula offers direct access to a patient’s vascular system and provides a potential route for
entry of microorganisms into that system. These organisms can cause serious infection if they are
allowed to enter and proliferate in the IV cannula, insertion site or IV fluid.

Infection, maaring magkaron ng infection ang Patient sa kanyang IV insertion site kapag hindi
maayos ang pagkakainsert or pag hindi malinis ang surroundings ng pasyente.

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