Peripheral Intravenous

1
EMERGENCY VASCULAR ACCESS IN PATIENTS
WITH (but not limited to) -
cardiac arrest - trauma
- surgery - respiratory arrest
- burns - blood
loss/dehydration - shock
Peripheral Intravenous sites hands, arms, feet
Central Venous sites jugular, subclavian,
femoral, brachial
Intraosseous Infusion System sites adult
manubrium, pelvis, child femur
NURSING ISSUES assisting with insertion time
consuming pain on insertion difficulty in
insertion care to site patient comfort ease of
care to site
NURSING ISSUES assisting with insertion education/
competency in care of site pain on
insertion patient comfort time consuming new
product
COST/TIME more expensive than other
two methods more supplies needed for care up to
60 seconds to insert must remove in 24 hours
NURSING ISSUES independent with insertion time
consuming pain on insertion difficulty with
insertion flexibility/access to
sites skills/education for insertion patient
comfort ease of care to site
COST/TIME 1-15 minutes for insertion minimal cost
of product remove/change every 3 days
COST/TIME product more expensive more supplies
needed for care up to 30 minutes to
insert intravenous pump required change/remove in
7 days
COMPLICATIONS osteomyelitis trauma lung/cardiac
puncture entry site leakage local
cellulitis missing insertion site need 70 lbs
pressure to insert
COMPLICATONS phlebitis interstitial contamination
extravasation
DRUG/FLUID ADMINISTRATION gravity up to 80
cc/hour pump up to 120 cc/hour fluid/drug
limited unlimited permitted drug dose
COMPLICATIONS bleeding to site infection contamina
tion pnemothorax interstitial extravasation
DRUG/FLUID ADMINISTRATION unlimited fluid
amounts unlimited drug type/dose one site but
more access (triple-lumen)
DRUG/FLUID ADMINISTRATION unlimited fluid
amounts drug type/dose limited
CONTRAINDICATIONS trauma to site infection amputat
ion
CONTRAINDICATIONS severe osteoporosis cardiac
bypass surgery site trauma site infection
CONTRAINDICATIONS trauma to site severity of
consequences of infection to site
SAVE TIME AND LIFE