IV Complications by Aimee Wheatley https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot 1) Define the term and explain the cause 2)Post an image (if possible) 3)S&S?..What might you see..and what might the client say? 4) Nursing actions?- Interventions 5) How can this be prevented? 6) What would you chart in the nurses notes? en-us 2021-06-28 22:17:34 UTC 2024-01-18 08:20:19 UTC hello@padlet.com https://padlet.net/icons/png/1f61f.png Image of Extravasation vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992761 2021-06-28 22:17:34 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992761 Image of Fld Overload vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992774 2021-06-28 22:17:34 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992774 vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992779 2021-06-28 22:17:34 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992779 Image of Air Embolism vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992794 2021-06-28 22:17:34 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1628992794 Image of Infiltration vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1629002256 2021-06-28 22:30:24 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1629002256 Image of IV Occlusion vcccpeinstructor https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1629005248 2021-06-28 22:34:08 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1629005248 irritation, inflammation of a vein. https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637700509 2021-07-05 19:46:10 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637700509 occlusion - the blockage or closing of a blood vessel https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637701367 2021-07-05 19:47:31 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637701367 Symptoms: https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637702262 pain, tenderness, redness, and a bulging vein.

Causes:
sitting to long on  long drives, train or plane rides, varicose veins, some cancers, and after surgery.

]]> 2021-07-05 19:48:34 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637702262 escape of vesicant solutions into interstitial tissue causes coolness at site, taut skin, tissue necrosis Jackie_C https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637703714 2021-07-05 19:50:21 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637703714 4) Nursing actions crissy16chris https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637704278 -IV line must be discontinued and a new line inserted in another vein. -Apply warm, moist heat on the site of phlebitis can offer some relief to the patient.  
-Bleeding might occur from the venipuncture site, nurse needs to apply a pressure dressing to site to control bleeding. Bleeding from vein is usually slow, continuous seepage and is not serious]]> 2021-07-05 19:51:12 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637704278 "Infiltration: occurs when drugs or fluid infiltrates into the tissue surrounding the venipuncture site. This happens when the tip of catheter slips out of the vein, catheter passes through the wall of the vein, or as blood vessel wall stretches which allows fluid to infuse into the surrounding tissue". leenpreet94 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637707443 (https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Peripheral_Intravenous_IV_Device_Management/)]]> 2021-07-05 19:54:49 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637707443 Phlebitis hamerdakary https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637708430 ouch! Phlebitis is inflammation of the vein. This can be caused by fluid additives or chemical irritation. we can treat phlebitis by discontinuing the IV (with dr order) applying warm compress and then a cool one. ]]> 2021-07-05 19:56:21 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637708430 kerrilynsharpe https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637708665 2021-07-05 19:56:37 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637708665 Jackie_C https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637709150 Extravasation may occur due to either the cannula piercing the vessel wall or from increased venous pressure that causes leakage around the original venepuncture site.

]]> 2021-07-05 19:57:20 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637709150 S/S kerrilynsharpe https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637709297 Sluggish infusion
Ability to infuse but not aspirate
Inability to infuse or aspirate
]]> 2021-07-05 19:57:35 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637709297 Infiltration S & S sjyoung8478 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637712017 May include:

  • Redness around the site.
  • Swelling, puffy skin around the site or at the site of infiltration.
  • Blanching around the IV site
  •  tenderness or pain around the site.
  • IV not working. (cannot flush or push fluids through)
  • Skin maybe cool to the touch at the site.

]]> 2021-07-05 20:01:41 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637712017 What infiltration looks like: sjyoung8478 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637714833 2021-07-05 20:05:59 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637714833 IV fluids given too quickly or to high of a volume can lead to fluid overload. Signs and symptoms are : headache, hypertension, anxiety and SOB. Clients should report any of these S/S immediately and IV flow rate must be adjusted or discontinued https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637716626 2021-07-05 20:08:26 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637716626 6) What would you chart in the nurses notes? jessicahelmer https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637719634 Charting for extravasion would include:
- patient name and PHN
- date and time of the extravasation
- name of the drug extravasated and the diluent used
- patient's signs and symptoms, (5) description of the IV access
- extravasation area (including approximate amount of the drug extravasated)
- management steps with time and date.

]]> 2021-07-05 20:12:40 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637719634 an inflammation of the vein. noted after using IV line, cause trauma to the vein. can feel the hardening of the vein. patient complain of pain or irritation. https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637725496 Report it to the RN. check facility policy. Apply moist warm compress over area. monitor affected site, and document pain rate stated by patient, size , which site is it and how site looks like (DRIPS) . ]]> 2021-07-05 20:21:32 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637725496 5. How can this be prevented https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637734888 Assess for phlebitis inspect for localized redness, tenderness, swelling over vein sites. IV sites must be rotated every 72-96 hours to reduce the risk, discontinue IV, and apply warm compresses then consult RN.


]]> 2021-07-05 20:34:24 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637734888 3)S & S : Tachypnea, apnea, wheezing, coughing, chest pain, hypotension, cyanosis. pearlangelica https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637748103 2021-07-05 20:51:39 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637748103 Fluid overload is called Hypervolemia. https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637748452 Cause : It might cause by due heart failure or kidney failure , as kidneys unable to maintain sodium and fluid balance.
S&S - Rapid weight gain,↑ BP, noticeable swelling,  cramping, headache.

]]> 2021-07-05 20:52:09 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637748452 Cause of Air Embolism: This happens when air bubble (or air bubbles) enters the vein. It could be fatal if not caught early, since the air can travel to the person's brain, heart or lungs. annabelle16mecava https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637758427

]]> 2021-07-05 21:08:12 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637758427 1) The abnormal presence of air in the cardiovascular system. Resulting in obstruction of blood flow. Air embolisms can occur if a large quantity of air (Bolus of air) is inadvertently introduced by injection into veins or by trauma (puncture/trauma to chest may allow air from the lungs to enter the vascular space). ( Mosby's Pocket Dictionary 8th edition) pearlangelica https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637761249 A embolism can cause a ischemia or infraction in tissues distal to the obstruction , producing organ dysfunction and pain. 
( understanding pathophysiology 1st Edition )

]]> 2021-07-05 21:13:31 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637761249 annabelle16mecava https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637763672 2021-07-05 21:17:55 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637763672 Signs and symptoms of Extravasation https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637769674 Pain, swelling, redness and presence of vesicles on the skin]]> 2021-07-05 21:27:23 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637769674 What would you chart in the nurses notes? tuntunaung05 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637770739 Nurse should assess and chart Phelebitis grading scale 0 - 5. 

Source : http://www.pedagogy-inc.com/Home/Resources/IV/Phlebitis-Grading-Scale.aspx]]> 2021-07-05 21:29:19 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637770739 Doctor can diagnose by doing physical exam looking for any swelling in the body, and checking sodium level via blood work. Treatment: If the patient is on IV therapy we will slow the drip rate, and monitor the fluid in take , check vital signs. marzeah2013 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637771314 2021-07-05 21:30:17 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637771314 5) Preventing Air Embolism https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637774358
  • Clear the central line of air prior to insertion.
  • Use iv pumps with in-line air detectors.
  • Use the head-down position and the Valsalva maneuver during both insertion and removal.
  • Use screw-on connections, and secure them with tape.

    • ]]>     2021-07-05 21:35:16 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637774358     5) Preventing Air Embolism vittermuggle https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637775460
  • Clear the central line of air prior to insertion.
  • Use iv pumps with in-line air detectors.
  • Use the head-down position and the Valsalva maneuver during both insertion and removal.
  • Use screw-on connections, and secure them with tape.
    • ]]>     2021-07-05 21:37:14 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637775460     5) How can this be prevented? marissam31 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637786832 - follow the policies and procedures of the facility
    -avoid the veins in the hand, wrist and antecubital fossa. Use the veins of the forearm instead.
    - keep monitoring the site for any dislodgement. ]]>     2021-07-05 21:54:30 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637786832     4)Nursing actions? Interventions. - Use tubing with twist-lock connections • Check all junctions and make sure they are secure • Do not use anything sharp near an IV line • Eliminate air from syringes and IV tubing • Keep the client supine and perform the valsalva maneuver as the catheter is removed to increase pressure and reduce the risk of air entering circulation • Encourage ambulation to prevent venous stasis • Manage pain by repositioning frequently • Assess for hypoxemia and monitor SPO2 levels • Relieve anxiety https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637789293 Jay]]> 2021-07-05 21:58:55 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637789293 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637790032 2021-07-05 22:00:28 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637790032 Nursing Interventions: Apply either ice packs or warm compresses to the affected area, depending on the type of vesicant. For most extravasations, you'll apply ice for 20 minutes four to six times a day for 24 to 48 hours. Stop the infusion and disconnect tubing gurdeepbasi https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637796748 2021-07-05 22:13:48 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637796748 Risk Factors charnkamaljit https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637805010 Risk Factors for Phlebitis are Catheter material, chemical irritation of additives, drugs given intravenously, rate of the medication administration, the skill of the individual inserting the catheter, anatomical position of the catheter ,dehydration, poor hand hygiene, not disinfecting the site properly before inserting the canula.

    ]]>     2021-07-05 22:28:18 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637805010     6) What would you chart in the nurses note? https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637812193 - we have to chart the site of the IV Infiltration, the date of incident, the general assessment in the IV site. the  clinical symptoms if the infiltration,  how swollen it is, the extent of the tissue injury. 

    ]]>     2021-07-05 22:41:59 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637812193     Nursing Actions Hawo https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637822874 nursing intervention may include monitoring I/O. SBAR the physician and get an order to stop the IV infusion and for fluid restriction. also may administer diuretics ( by the doctor order) Monitor closely I/O, and promote client comfort.]]> 2021-07-05 23:02:28 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637822874 Management https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637825844 Flush or saline lock properly and regularly of the I/V line before and after use                                        Ensure catheter tip/ locks/clams are on place 
    Administer prescribed anticoagulant / saline flush regularly (8-12Hrs)]]>     2021-07-05 23:08:17 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637825844     4 Nursing interventions and actions Hawo https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637827834 if infiltration occur stop the infusion and discontinue the IV. Restart a new IV line in different extremity (by RNs)
    Elevate the affected extremity
    Notify the physician
    apply a warm, moist compress to the reduce the area of inflammation
    Record the procedure]]>     2021-07-05 23:12:13 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637827834     What might you see or the client say? imakkun0 https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637839517 - Client would state itchiness or burning at the site, and you as the nurse would see edema and feel coolness at the site. ]]> 2021-07-05 23:31:23 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1637839517 Phlebitis is the inflammation of a vein, Symptoms of phlebitis affect the arm or leg where the inflamed vein is located , some of the symptoms include : redness, swelling, warmth, visible red “streaking” on your arm or leg tenderness rope- or cord-like structure that you can feel through the skin https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1638383431 2021-07-06 05:44:53 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1638383431 6) what would you chart in the nurses notes? jessicahelmer https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1644640005 Nurses note charting would include: client assessment, nursing interventions, physician notified, and treatment.

    ]]>     2021-07-11 17:38:52 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1644640005     claricezitro https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1644672441 - Pain, increase temperature
    -inflammation in the vein
    - discontinue IV line, apply moist and warm compress, monitor site qh, for redness and tenderness
    -0-4- erythema, pain, edema, red steak on the vein, palpable venous cord, purulent drainage]]>     2021-07-11 19:17:08 UTC https://padlet.com/vcccpeinstructor/jbbfukfxgyd358ot/wish/1644672441