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Intravenous Infusions and Related Tasks Lesson 1: Initiate an Intravenous Infusion and Manage a Patient With an Intravenous Infusion 1-6 |
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1-6. PROCEDURE FOR INITIATING AN INTRAVENOUS INFUSION a. Select a suitable vein for venipuncture. b. Prepare the venipuncture site.
c.Don gloves. d. Perform the venipuncture.
e. Remove the constricting band. f. Obtain venous blood samples as required. g. Attach the administration tubing to the cannula hub (figure 1-13) while maintaining stabilization of the hub with the non-dominant hand. h. Open the flow-regulator clamp and observe for drips in the drip chamber. Allow the fluid to run freely for several seconds. NOTE: You may drop the solution bag lower than the casualty's heart to observe for a backflash of blood to verify catheter placement.
i. Adjust to the desired flow rate. j. Clean the area of blood, if necessary, and secure the hub of catheter with tape, leaving the hub and tubing connection visible. Make a small loop in the IV tubing and place a second piece of tape over the first to secure the loop (figure 1-14). k. Apply a 2x2, a 4x4, or a transparent dressing Tegaderm™) over the venipuncture site (figure 1-14). l. Label a piece of tape with date and time the IV was initiated, the catheter size, and your initials. Secure the tape over the dressing. m. Monitor the casualty and continues to observe the venipuncture site for signs of infiltration. Discontinue the infusion if signs of infiltration are observed. n. Remove your gloves and disposes of them appropriately. o. Document the procedure on the appropriate medical form.
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