The Process of Starting an IV (intravenous)
Several skills are beneficial to the nurse and paramedic, but perhaps one of the most important skills is the ability to place an intravenous catheter into a vein. This procedure is most commonly referred to as “starting an IV”. In today’s medical community, intravenous cannulation is necessary for the administration of many antibiotics and other therapeutic drugs. Listed below are the procedures and guidelines for starting a successful IV. Following these instructions will provide a positive experience for the patient and clinician.
First, you must obtain all of the necessary supplies: gloves, alcohol or Betadine preps, a tourniquet, tape, an appropriately sized IV catheter, a bag of IV solution, the IV tubing, and gauze pads. While obtaining the supplies, you should inform the patient that IV catheter placement is necessary, and why. Do not lie to the patient and tell him or her that it is a painless procedure. Instead, be honest with them and explain that the initial puncture feels like a sharp pinch on the skin and that the pain and discomfort associated with the IV placement is only temporary. You may find it helpful to demonstrate to the patient the amount of pain to expect by pinching the skin on the back of their hand. This is especially helpful for younger patients or patients who are more concrete in their thinking.
Now, assemble and arrange all of the needed supplies so that they are easily accessible. Connect the IV tubing to the solution bag and allow the fluid in the bag to run through the entire length of the tubing, also known as priming the tubing. When this is done, clamp the tubing closed. You will then need to tear several pieces of tape, six to eight inche...
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...f the clamps on the tubing to allow the IV solution to run freely. Slowly, decrease the flow of the solution to the appropriate rate as ordered by the physician. Using a small gauze pad, wipe away any excess blood or fluid on the surface of the skin. Then, using the pre-torn pieces of tape, secure the catheter hub and the IV tubing to the patient’s skin. Take extra caution not to kink the tubing. Once everything is secured, recheck the IV solution’s flow and then attend to the rest of your patients needs.
Starting a successful IV takes practice, time, and patience. Once you have perfected this procedure, you will see that the above steps are simply guidelines to help beginners. As your experience grows, you will develop your own techniques and preferences. Remember these steps, and both you and your patient will have a successful IV catheter placement experience.
Tim O’Brien’s ultimate purpose is to detract the fine line between fiction and reality. In order to fully grasp what a true war story consists of, the definition of true must be deciphered. O’Brien seems to believe that it does not need to be pure facts. Instead, it is mostly found in the imagination of the individual. Readers need to receive a story based on the truth in its overall purpose and meaning. It just needs to feel true. The author implies that it is not important whether the event actually occurred or not, because if the reader wants to believe it that badly, the feeling of truth will always be present.
Then after threading a catheter through the needle, the anesthesiologist will withdraw the needle and leave the catheter i...
It is a closed system where the patient’s blood goes straight from the vein to the inside of the tube through the rubber stopper present at the entrance of the tube without the blood being open to the air. You can collect many tubes by using just a single venepuncture. There is three components required for the evacuated system: double pointed needle, plastic holder or adapter and evacuated sample tube. All constituents of the system ought to be from the same manufacturer to avoid difficulties with the correct needle fit and smooth placement and removal of tubes. The tubes used with the evacuated tube system for blood collection are known as evacuated tubes. With the evacuated tube, blood can be taken straight from the vein into the tube without exposing it to air (closed system). This reduces accidental contact with blood. These tubes have a preset vacuum based on the volume of the tube and the type and amount of additive used in the tube. When the rubber stopper of the tube is penetrated with the back-end of the needle in the needle/tube holder, blood is drawn into the tube from the vein by the vacuum. The vacuum in the evacuated tube permits the accurate amount of blood to go into it. Regardless of whether the anticoagulant in the anticoagulant tubes is a liquid, powder or spray on the inside of the tube, they must be allowed to fill to the finishing point. By not completely filling the
Korea had been united as one country for many years. Japan took control of Korea and made it part of its empire. After World War II, Japan was defeated and its empire fell. Korea was left without a leader or a system of government. This provoked the United States troops to occupy the southern half and Soviet troops to occupy the northern half. The United States and its allies favored democratic government, while the Soviet Union and China favored a communist system of government.
In his assessment of storytelling, O’Brien highlights the challenges of telling stories by including many tales that take place after the Vietnam War. For example, back in America, the soldier’s of Vietnam found
Keep the patient NPO, and establish two IV access sites with a large bore catheters running one IV with NS at KVO and morphine sulfate for pain. Initial laboratory testing including a complete blood cell count (CBC), basic metabolic panel (BMP), cardiac enzymes (creatine kinase, creatine kinase-MB, and cardiac Troponin) and repeat in 90 min. Administer antiplatelet ASA 324mg PO (Sen, B., McNab, A., & Burdess, C., 2009, p. 18). Before administering nitroglycerin 0.4 mg SL (every 5 minutes up to three doses) reassess blood pressure if systolic <90 mmHg, patient has used cocaine in the last 24 hours, or taking PDE-5 inhibitors do not administer. Thrombolytic therapy should be implemented within 30 minutes from the patient’s arrival to the emergency department, and if they are a candidate for cardiac catheterization it should be done within 90 minutes from the patient being admitted to the hospital. Delay on either therapy option increases the risk of mortality (Kosowsky, Yiadom, Hermann, & Jagoda, 2009, p. 10).
A true war story is not always true. Some would say a true war story is an experience from war. Others, who came from war, would say they make up stories to make war seem crazier than it really is. Tim O’Brian states that the story is fiction, but the moral is true. Tracy Kidder had written war stories based on his time in Vietnam, and his book is rated as nonfiction, even though he admits that some war stories are made up.
IV (Intravenous) infusion means “into the vein”. Intravenous medication administration takes place when you insert a needle into a vein and medication is administered via that needle. IV infusions are used to administer drugs, blood, essential nutrients or fluid into a patient’s blood.
Central venous catheters (CVCs) are frequently used in intensive care units (ICUs) for a number of reasons (measure central venous pressure, when peripheral veins are unable to be accessed, administration of medications/therapies and aspiration of blood samples) (Conroy, 2006, p. 98). Patients in this environment already have an increased risk of infection because of their treatments. Patient treatments commonly involve invasive devices or interventions (major surgery), antibiotic therapy (raises the risk of bacterial resistance) while steroid, chemotherapy and radiation therapy all suppress the immune system (Hatler, Hebden, Kaler, & Zack, 2010).
Distance from the flashing light: a distance of 2 feet or more is safe and can cause minimal effect to the people with epilepsy. However, very close distance (less than two feet away) can trigger the seizures. Therefore, there is need for the disable individuals to stay at least two feet away from the flashing light and in a well-light environment.
An interesting combination of recalled events and editorial commentary, the story is not set up like a traditional short story. One of the most interesting, and perhaps troubling, aspects of the construction of “How to Tell a True War Story” is O’Brien’s choice to create a fictional, first-person narrator who might just as well be the author himself. Because “How to Tell a True War Story” is told from a first-person perspective and O’Brien is an actual Vietnam veteran, a certain authenticity to this story is added. He, as the “expert” of war leads the reader through the story. Since O’Brien has experienced the actual war from a soldier’s point of view, he should be able to present the truth about war...
Several stories into the novel, in the section, “How to tell a true war story”, O’Brien begins to warn readers of the lies and exaggerations that may occur when veterans tell war stories.
The truth to any war does not lie in the depths of storytelling but rather it’s embedded in every person involved. According to O’Brien, “A true war story does not depend on that kind of truth. Absolute occurrence is irrelevant. A thing may happen and be a total lie; another thing may not happen and be truer than the truth” (pg. 80). Truths of any war story in my own opinion cannot be fully conveyed or explained through the use of words. Any and all war stories provide specific or certain facts about war but each of them do not and cannot allow the audience to fully grasp the tru...
will require intravenous cannulation” (Ogston-Tuck, 2014). The key to prevention is knowing the cause of the problem. Some key nursing interventions as noted in the [Manual of IV Therapeutics] include using aseptic technique