IV’s

saline lock

- intermittent venous access -increased mobility, safety, and comfort for pt

implanted (central line)

-long term, often intermittent use -can be permanent -internal device (no dressing, unrestricted activity, decreased risk for infection -surgical procedure needed, very costly, requires needle for access, high risk for clots

primary tubing

-main line that connects IVF to pt -administers larger amounts of fluid -replaced ever 96 hours

peripheral IV

-short term use - over the needle catgeter -typically lovated in arm/hand -fluid replacement (cannot fo nutritional replacement) -intermittent antibiotic use

CLABSI

central line associated blood stream infection

secondary tubing replaced

every 24 hours

TPN/liquid tubing replaced

every 24 hours (day)

blood tubing replaced

every 4 hours

primary tubing replaced

every 96 hours (4 days)

20G (pink)

used for IV fluids and meds most common

22G (blue)

used for IV fluids and small veins

18G (green)

used for blood tranfusions

26G (purple)

used for neonates

14G (orange)

used for trauma, rapid infusions

16G (grey)

used for trauma, surgery

24G (yellow)

used for very fragile veins, peds

ANTT (aseptic non touch technique) needed

when starting and maintaining PIV line

sterile technique needed

when starting and maintaining central lines

intermittent/secondary tubing

-allows for administration of meds that are stable for a limited time -uses small amounts of compatible fluid -attached at a Y-site above the pump -the higher bag will be the one to flow due to gravity

non tunneled (central line)

-ex: picc line -pertinently inserted -short term use -preserves peripheral veins, multiple lumens, can be used for blood sampling, nurses can insert -HIGHEST risk for infection, greater risk of insertion complications, NOT long term, easily dislodged

IV bolus/push (IVP)

-introduced a concentrated dose of medication directly into the systemic circulation -most dangerous method

central line

-location of catheter tip ends up centrally outside the heart -long term use -large volumes of fluid (can do TPN-total parenteral nutrition) -medications that irritate veins (chemo)

tunneled (central line)

-long term use (months to years) - tunneled under skin into vein -cuff anchors catheter -reduces infection, easy to care for, no dressing needed -must be inserted in OR, very expensive, provider must remove