INTRAVENOUS CANNULATION PROCEDURE.pptx

IV cannula

1. TO –RESPECTED NEHA PANDEY MAM. FROM – SHAILEE TRIVEDI. INTRAVENOUS CANNULATION PROCEDURE 1

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3. INDEX 3 Sr no. Topic. Page no . 1 I.V cannulation defination 4 2 Parts of cannula 5 3 Types of cannula 6 4 Number of i.v . cannula 7 5 Indication of i.v.cannulation 9 6 Advantages of i.v . cannulation 10 7 what equipement what you need? 11

4. INDEX 4 SR NO. TOPICS. PAGE NO 8 Preperation of i.v . cannulation 14 9 Selecting a vein forearm and hand 16 10 Signs of good vein 19 11 What veins should you avoid? 20 12 I. v. cannulation procedure 21 13 Complications of i.v . cannulation 27 14 Prevention of complicartion of i.v . cannulation 30 15 Vip score form 31 16 I.V . assessment tool 32 17 Bibliography 33

5. an IV is a small plastic tube, inserted into a vein, usually in your hand or arm. An iv used to : Provide fluids when person are dehydrated or can’t drink. Give a blood transfusion. Administer medications. What Is I . V. Cannulation ? 5

6. PARTS OF CANNULA Following pic is parts of iv cannula : 6

7. TYPES OF CANNULA Pen type Open type with injection port Open type with butterfly wing Closed “y” type 7

8. Numbers Of Iv Cannula Ven flon no 14 orange colour Ven flon no 16 grey colour Ven flon no 18 green colour Ven flon no 20 pink colour Ven flon no22 blue colour Ven flon no 24 yellow colour Ven flon no 26 purple colour 8

9. NUMBER S OF IV CANNULA: 9

10. Indications iv cannulation Intravenous chemotherapy administration. Intravenous nutritional support. Intravenous blood & blood products administration. Intravenous administration of radiological contrast agent for computed tomography. Intravenous medication administration. Intravenous fluid administration . Repeated blood sampelling . 10

11. ADVANTAGES OF IV CANNULA Immediate effect Control over the rates of administration Patient cannot tolerate drugs/fluids orally. Some drugs can not be absorbed by any other route. Pain and irritation is avoided compared to some substanes when given sc/ im . That should be prvenntion of aspirations while taking oral medication. 11

12. WHAT EQUIPMENT DO YOU NEED? Iv cannulation tray Gloves Makin tosh Skin razor Alcohol based hand rub Gauze swab Tourni quet Iv cannula no 16,18,20,22,24 Transparent dressing( tegaderm ) to Secure cannula Posiflush Extension set ( bd -q-s et) 12

13. IV CANNULATION TRAY 13

14. Preperation of iv cannula Introduce the patient. Explanation the procedure. Hand wash. Position the patient appropriately and identify the non-dominant hand /arm. Support arm on pillow or in other suitable manner. Check for any contra-indication e.g. Infection, damaged tissue , a.v . fistula etc. Watch patient condition, age, and according patient’s need ven flon numbr select and should be inserted. 14

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16. SELECTING A VEIN Veins of the forearm Cephalic vein Median cubital vein Accessory cephalic vein Basilic vein Median antebrachial vein 16

17. SELECTING A VEIN Veins of the hand Digital dorsal veins. Dorsal metacarpal veins. Dorsal venous network. Cephalic vein. Basilic vein . 17

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19. WHAT ARE THE SIGNS OF A GOOD VEIN ? Bouncy. Soft. Above previous site. Refills when depressed. Visible. Has a large lumen. Well supported. Straight. Not again pricked. Easily palpable. 19

20. WHAT VEINS SHOULD YOU AVOID? Thrombosed . Inflamed /bruised. Thin /fragile. Mobile. Near bony prominences. Areas or sites of infection, oedema or phlebiitis . Have undergone multiple previous punctures. Do not use if patient has iv fluid in situ. 20

21. IV CANNULATION PROCEDURE Procedure: Introduce your self to patient. Explain the procedure To the patient. Approach with A confident,calm and caring attitude. Collect all Equipment at patient Side. 21

22. First Hand Wash Should Be Do 22

23. iv CaNNULATION PROCEDURE: Wear the gloves. Do shavings and remove the hair. Apply tourniquet. Clean area with alcohol swab. 23

24. iv CaNNULATION PROCEDURE: Remove the needle cap. Appropriate size of branula as per patient Needs. 24

25. iv CaNNULATION PROCEDURE: Press lightly the vein using the thumb of non dominant hand Strech the skin taut below the site of inseertion with the thumb to stabilize vein. Hold cannula with bevel facing up and perform cannul ation . Observe the back flow no any hematoma or thrombosis. Flush the line with 0.9%ns 10ml / posi flush. Secure branula with tegaderm . Discard all disposable items & sharp seperately . Wash hands. Fill the vip score form. Documentation in patient file. 25

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27. COMPLICATIONS OF CANNULATION 1. Local 2. Systemic Infiltration Extravasation Thrombosis Cellulitis Phlebities Embolism Hematoma Systemic infection Speed shock Circulatory overload Allergic reaction 27

28. INFILTRATION :-To enter, permeate, or pass through a substance or area by filtering or by insinuating gradually . EXTRAVASATION The leakage of blood, lymph, other fluid from blood vessel into the tissue PHLEBITIES: Inflammation of a vein its happened with blood or without blood too. 28

29. THROMBOSIS & CELLULITIS THROMBOSIS: Thrombosis occurs when blood clots block vein or arteries. CELLULITIS: A common and potentially serious bacterial skin infection. 29

30. PREVENTION OF IV LINE COMPLICATION Check iv site in each shift Use vip score tool for prevention of phlebities . Check dressing for iv line site. Total number of days of iv line. Use transparent dressing. Use flush technique. Take posi flush and flush the ven flon slowly and clean the port ,give medicine again flush the ven flon slowly. Use flush tehnique each medicine given before and afterthat . 30

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32. I- DECIDED (IV ASSESSMENT & DECISION TOOL.) 32 IDENTIFY if an iv is in situ: if an IV has been removed in past 48 hours , observe site for post infusion phlebities . DOES patient need the IV? If not used in past 24 hours ,or unlikely to be used in next 24 hrs, consider removal, consider change to oral medications. EFFECTIVE function? Does the iv infuse and /or flush well? Follow local policy for flushing and locking. COMPLICATIONS at IV site? Pain >2/10, redness>1 cm , discharge , infiltration, extravasation , hardness, palpable cord purulence. INFECTION prevention : hand hygiene , scrub the hub & allow to dry before each IV access careful use of administration sets. DRESSING & securement .: clean ,dry, and intact. IV and lines secure. EVALUATE & EDUCATE: evaluate concerns. Educate as needed. Discuss IV plan with patient & family. DOCUMENT your decision: continue to monitor ,document in file , change dressing / securenent or remove IV.

33. BIBLIOGRAPHY: 4 TH premium colored edition “TARGET HIGH” CBS Muthuvenkatachalam S . ambili M venugopal . Page no e-43, e-111 (iv cannulation procedure) Https://www.Slideshare.Net >intravenouscannulation 33

34. THANK YOU 34