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INTRAVENOUS INFUSION
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Purpose-
- To replaces fluid lost from the
casualty’s circulatory system.
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I.V. Fluids -
- Contains both water and electrolytes
(sodium, potassium, calcium, and
chloride compounds)
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I.V. Supplies:
I.V. Solution bag Intravenous infusion set
Catheter and needle unit
Constricting band
Anti-microbial ointment
Cotton pads Adhesive tape
Scissors
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I.V. Bag, I.V. Set, and catheter/needle unit
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Check the I.V. Supplies
Expiration date
Clarity of the fluids
Leas!acaging of the IV set
"eedle Set
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Prepare the I. V. Set:
#emove the protective coveringfrom the outlet port on the I.V. bag.
#emove the protective cap the
spie on the infusion set.
$rasp the drip chamber %& one
hand and the spie cap %ith otherhand.
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Remove the cap w/ a twisting motion
w/o touching the spie.
!ang the bag on an ob"ect above the
level of the casualty’s heart.
#$uee%e the drip chamber until half of
the chamber is filled w/ &.'. solution.
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Remove the air from the tubing.!old the end of the tubing above the
bottom of the bag.
Release or loosen the tubing clamp.
oosen the protective cap over the
adapter.
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raduall! lo"er the tu#i$% u$tilthe solutio$ reaches the e$d o&
the adapter.
Re-cla'p the tu#i$% a$d re-ti%hte$ the cap o(er the adapter.
Cut or tear &our strips o& tape
)a#out *-i$ches le$%th+
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Re'o(e the cap ", a t"isti$%
'otio$ ",o touchi$% the spike.
a$% the #a% o$ a$ o#ect a#o(ethe le(el o& the casualt!/s heart.
S0uee1e the drip cha'#er u$til
hal& o& the cha'#er is &illed ", I.V.solutio$.
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Veins on the forearm and hand
oo and feel (palpate) for vein,
The vein should be as close to the
end of the etremity as possible.
*ae sure the site is free of scars,moles and ecessive hair.
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Appl! the co$stricti$% #a$d 2 to3 i$ches a#o(e the i$&usio$ site
i$ such a 'a$$er that the #a$d
ca$ #e released usi$% o$l! o$eha$d.
Stre$%th the #a$d sli%htl!.
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4rap the #a$d arou$d the li'# so
that o$e e$d o& the re'ai$i$%
#a$d is lo$%er tha$ the other e$d.
5oop the lo$%er e$d a$d dra" it
u$der the shorter e$d. 6e sure the
tails poi$t a"a! &ro' the i$&usio$
site.
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Applying a constricting band
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Ask the casualt! to cle$ch a$drela7 his &ist se(eral ti'es8 the$
keep his &ist cle$ched. I& the
casualt! is u$co$scious8 place theli'# #elo" the le(el o& heart.
Palpate the (ei$ "ith !our
&i$%ertips a%ai$ to sure that the(ei$ is still suita#le.
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4ipe the site #! usi$% a cotto$ ", a$ti-
'icro#ial oi$t'e$t,solutio$ usi$% acircular 'otio$ #e%i$$i$% at the ce$ter
o& the site a$d spirali$% out"ard.
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Ope$ed the packa%i$% o& the
catheter a$d $eedle u$it a$d
re'o(e the u$it.
old the ste' )&lash cha'#er+ o&
the u$it ", the thu'# a$d&ore&i$%er o& !our do'i$a$t
ha$d a$d use !our other ha$d to
re'o(e the protecti(e cap &ro'the u$it. old the u$it so the
#e(el o& the $eedle is up.
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Needle with bevel up
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Pull the ski$ taut #! pressi$% appro7i'atel! o$e
i$ch a#o(e or #elo" )usuall! #elo"+ the i$&usio$
site ", the thu'# o& !our $o$-do'i$a$t ha$d.Positio$ the $eedle sli%htl! to the side o& the (ei$
at appro7i'atel! a 9 to ; de%rees a$%le.
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I$sert the $eedle tip i$to the ski$
", the #e(el up. I$sert o$l! the
#e(el o& the $eedle #e$eath the
ski$.
5o"er the a$%le o& the catheter
a$d $eedle u$til it is al'ost
parallel to the ski$ sur&ace.
I$sert the $eedle i$to the (ei$8
A sli%htl! <%i(e= is &elt as the$eedle e$ters the (ei$.
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Check &or #lood i$ the &lash
cha'#er8 I& the $eedle is i$ the
(ei$8 #lood "ill appear i$ the&lash cha'#er.
I& the pe$etratio$ o& the (ei$ is
$ot success&ull!8 pull the cathetera$d $eedle u$it #ack sli%htl!8 #ut
do $ot pull the #e(el a#o(e the
ski$ sur&ace. Atte'pt to directthe $eedle poi$t i$to the (ei$
a%ai$.
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4he$ !ou ha(e #lood i$ the &lash
cha'#er8 hold the catheter a$d
$eedle u$it i$ place.Ad(a$ce the catheter a$d $eedle
u$it appro7i'atel! >,3 i$ch
&arther to e$sure that the catheteritsel& is i$ the (ei$.
Sta#ili1e the &lash cha'#er ",
!our do'i$a$t ha$d8 rasp thecatheter hu# "ith !our $o$-
do'i$a$t ha$d.
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Thread the le$%th o& the catheter
i$to the (ei$ )to the hu#+
O$l! the catheter is ad(a$ce i$to
the (ei$.
4ith !our do'i$a$t ha$d8 re'o(e
the &lash cha'#er "ith the attached
$eedle &ro' the catheter a$d la!
the &lash cha'#er,$eedle aside.
Ask the casualt! to u$cle$ch his&ist.
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5oose$ the cla'p o$ the tu#i$% toallo" the I.V. solutio$ to &lo".
Check the drip cha'#er to 'ake
sure the &lo" has started.
Adust the cla'p so the I.V. tu#i$%
is cla'ped a#out hal& "a!. The
&luid should #e &lo"i$% &ast e$ou%h
that !ou ca$ #arel! cou$t the
i$di(idual drops o& &luid.
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Check the i$&usio$ site &or si%$so& i$&iltratio$. The si%$s o& the
i$&iltratio$ are:'nusual pain felt by casualty at the site.
S%elling at the site
#edness at the site
Site is cool to touch
Clear fluid leaing around the site
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Remove two strips of tape from the &.'. bag
and use them to mae a diagonal cross over the
catheter hub. +ne the hub secure is secured,
release your hold on the adapter.
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Use o$e piece o& tape to securethe adapter.
?ake a loose sa&et! loop o&
tu#i$% o$ top o& the e7tre'it!", the tu#i$% #elo" the i$&usio$site.
Secure the loop o& tu#i$% ", the&ourth piece o& tape.
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Remove the Catheter
Adust the cla'p o$ the tu#i$%so the &lo" o& &luid is stopped.
5oose$ a$d re'o(e the stripso& tape
Re'o(e the catheter &ro' the(ei$ #! pulli$% it out at thesa'e a$%le used i$ i$serti$%
the $eedle.
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Co(er the pu$cture site ", a$adhesi(e #a$da%e. S'all steriledressi$% o$ the adhesi(e#a$da%e "ill help to stop#leedi$% a$d pre(e$t i$&ectio$.
Appl! 'a$ual pressure o(er thesite &or a#out @ 'i$utes to helpco$trol #leedi$%.
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