Flashcards
Indications, Contraindications and Complications of IV Access
Cards in this deck (9)
- 1InfiltrationInfiltration - leakage of a non-vesicant fluid from a vein into the surrounding tissue. Can cause - compression of nerves and acute limb compartment syndrome.
(Dychter, Gold, Carson, & Haller, 2012) - 2ExtravasationExtravasation - leakage of a vesicant solution from its intended vascular pathway into the surrounding tissue. Can cause - blistering, severe tissue injury to skin, tendons, muscles and can cause necrosis.
(Dychter, Gold, Carson, & Haller, 2012) - 3InfectionCan range from minor irritation or a localised site infection to increased morbidity and mortality from bloodstream infection or septicaemia
(Dychter, Gold, Carson, & Haller, 2012) - 4Phlebitis and ThrombophlebitisThrombophlebitis - Inflammation from a blood clot
Phlebitis - Inflammation of a vein. From:
Chemical (substance used)
Mechanical (movement of cannula in vein)
or Bacterial
("BD infusion therapy products - iv catheters - clinical expertise," 2016) - 5Venous Air EmbolusOccurs when one or more air bubbles enter a vein.
Results in ischaemia and can happen due to an unflushed line. Flushing is paramount ("Peripheral venous cannulation," n.d.) - 6Artery PuncturePuncture of an artery.
Causes arterial spasm and eventual loss of limb, usually from gangrene.
("Peripheral venous cannulation," n.d.) - 7HaematomaAn enclosed mass of blood in the tissue outside of the vein.
Causes: Unsuccessful insertion
Incomplete insertion
Tourniquet above previous attempt site
Unskilled clinician
Lack of pressure over site of discontinued catheter
Large cannula
(‘BD infusion therapy products - IV catheters - clinical expertise’, 2016) - 8IndicationsIV fluid resuscitation
Administration of analgesic medications
(Roberts, Custalow, Thomsen, & Hedges 2013) - 9ContraindicationsExtremity with a fistula
Extremities with large oedema, burns, cellulitis or injury.
Extremity that is on same side as mastectomy
(Dychter, Gold, Carson, & Haller, 2012 & Roberts, Custalow, Thomsen, & Hedges 2013)
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- Flash cards to assist in remembering the indications, contraindications and complications of Peripheral Intravenous Access
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- jody.stroud
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