Nur 105 Complication of Intravenous therapy ch9英文电子资料.pptVIP

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Nur 105 Complication of Intravenous therapy ch9英文电子资料.ppt

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Complication of Intravenous Therapy Chapter 9 Nursing 105 objectives Differentiate between local and systemic complications Describe the signs and symptoms of eight local complications Identify prompt treatment for local and systemic complications Identify INS Standards of practice rating infiltration List three risk factors for phlebitis Identify organisms responsible for septicemia related to infusion therapy Identify prevention techniques for the six systemic complications Local complication Hematoma: formations resulting from the infiltration of blood into the tissues at the venipuncture site Causes: nicking the vein during an unsuccessful venipuncture attempt, discontinuing the I.V. cannula or needle without pressure, applying a tourniquet too tightly above a previously attempted venipuncture site Hematoma cont Signs/symptoms: discoloration of the skin, site swelling and discomfort, inability to advance the cannula all the way into the vein during insertion, resistance to positive pressure during the lick flushing procedure Prevention and treatment: refer to page 360 Document observable ecchymotic areas Thrombosis Catheter-related obstructions can be categorized as mechanical or non-thrombotic ( 42% of all obstructions) or thrombotic (58% of all obstructions), Signs/symptoms: fever and malaise, slowed or stopped infusion rate, inability to flush licking device Prevention/treatment: refer to page 362 Thrombosis Documentation: document the change of infusion rate, the steps taken to solve the problem, and the end result. Chart new IV sites. It’ patency, and the size of the catheter used phlebitis An inflammation of the vein in which the endothelial cells of the venous wall become irritated and cells roughen, allowing platelets to adhere and predispose the vein to inflammation-induced phlebitis Types Mechanical Chemical bacterial Post-infusion Phlebitis cont Signs/symptoms: redness at site, site warm to touch, local swelling, palpable cord along the vein, slu