I'm in my second semester and I'm kinda confused about doing this set up, like the drip factor and all that. The instructor taught us, but I still don't get it. The paper I'm referring to study from doesn't make sense. Could somebody please explain to me, in easier terms (like what is a tubing and needless canula, etc). Thank you so much! More Like This Do you burp IV bag prior to putting pressure on it? by Nurse Beth, MSN IV Piggyback: Benefits of Its Administration by Kellie Norris, MSN, RN The Unsung Hero of The Emergency Department: The 24G IV Catheter by Damon McGill, BSN, RN How to Start an IV with an Ultrasound Machine: Transverse Mode by Damon McGill, BSN, RN Rolling Veins: A Quick Guide to Being a “Good Stick" by Krista Vaughan, RN
suzanne4, RN 26,410 Posts Nov 3, 2005 The tubing that you are talking about is called "secondary"-- it is used in conjunction with primary tubing. Secondary tubing is used for giving piggy back medications such as antibiotics.In the recent past, we used needles on the end of the secondary tubing to insert into the primary tubing at the different ports, then usually put a piece of tape around it so that it would not get pulled out. Nurses would get stuck, etc. Now they have what is called the "needleless" system, where the tubing can attach directly without the needle.Hope that this helps and good luck with your clinicals.:)
crb613, BSN, RN 1,632 Posts Specializes in Med Surg/Tele/ER. Has 7 years experience. Nov 5, 2005 tlcmel said:Thank you.Does anyone know of any good sites where I could view the parts and details of all this.Do you have a skills book? It should be in there. We use Clinical Nursing Skills & Techniques 5th ed. by Perry & Potter.It's really good if you don't have one.:)
Daytonite, BSN, RN 4 Articles; 14,603 Posts Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience. Jan 3, 2006 Peripheral venous access devices:Guidelines and Measures - AHRQ - access device guidelines: recommendations for nursing practice and education. IHC AntibodiesInitiate and Manage an Intravenous InfusionIntravenous TherapyIntravenous Catheter ComplicationsCentral venous access devices (cvads):Central Venous Access - quick guide to central venous access; 153 page manual with extensive informationCentral venous catheter - illustration of anatomical placement of a central venous catheterIntravenous fluid sites - illustration of iv and central line sites used in babiesPICC lines:PICC Line Care and Maintenance: An IntroductionTPN (total parenteral nutrition):Total Parenteral Nutrition (TPN) - indications, nutritional content, solutions, monitoring and complications - includes a table of the basic adult daily requirements for total parenteral nutritionGuidelines and Measures - AHRQIV flow rate and calculation problems:IV Flow Rate Calculations - practice iv flow rate quiz and answersBlood transfusion:Transfusion MedicineTable of commonly used iv solutionsMost commonly used iv solutions; includes tonicity, ph, the ingredients of the solutions, its uses and complicationsTable of Commonly Used IV Solutions.doc
carlita 13 Posts Mar 4, 2006 Does anyone know any good website that explains about syringes and how to mix and dilute different types of drugs? I am having my test-off in four days and I have no clue how to proceed. I'd really appreciate any help.
Daytonite, BSN, RN 4 Articles; 14,603 Posts Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience. Mar 4, 2006 Hope this is what you are looking for. The only drugs I can think of that you want to dilute would be iv drugs. You can find some of that information on the chart I've linked you into below. If you are looking for the re-constitution directions for some of the antibiotics and steroids you can get that information from www.drugs.com by looking up the professional's information about a specific drug at their site.
Daytonite, BSN, RN 4 Articles; 14,603 Posts Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience. Sep 14, 2006 Tracheostomy/Tracheostomy Care:Aaron's Tracheostomy PageTracheostomy Care GuidelinesTracheostomy - MedscapeTracheostomyMechanical Ventilation/Intubation:Mechanical Ventilation - MedscapeSmoking Cessation:Smoking Cessation - The Eeconomic Benefitshttps://www.innovations.ahrq.gov/taxonomy-terms/smoking-cessation
VickyRN, MSN, DNP, RN 105 Articles; 5,349 Posts Specializes in Gerontological, cardiac, med-surg, peds. Has 16 years experience. Jul 25, 2007 Pediatric skills and procedureshttp://www.delmarlearning.com/companions/content/1401897118/skillscklists/index.asp?isbn=1401897118A goldmine of information from delmar.Skills Checklists Assessment/monitoringVital signsskill 1. temperature skill 2. pulse skill 3. respirationskill 4. blood pressureskill 5. pulse oximetrySpecimen collectionblood drawsskill 6. capillary blood draw (heel and finger stick) skill 7. venipuncture skill 8. blood draw from a central venous catheter Nasopharyngealskill 9. nasopharyngeal swab skill 10. throat cultureDtool specimensskill 11. collection of stool specimenUrine specimensskill 12. collection of urine specimen on infant or young child skill 13. collection of a midstream, clean catch urine specimen on older child Diagnostic testsbone marrowskill 14. assisting with child during bone marrow aspiration and biopsyLumbar punctureskill 15. assisting with child during lumbar punctureskill 16. assisting with collection of cerebrospinal fluidFever & Hyperthermiafever and hyperthermia managementskill 17. sponge bathIntravenous accessskill 18. insertion of a peripheral iv lineskill 19. dressing change central venous line (tunneled, percutaneous, and implanted)GastrointestinalNG and nj tubesskill 20. insertion of a nasogastric tubeskill 21. management of gastrointestinal suctionskill 22. nasogastric tube irrigationskill 23. nasogastric tube lavageEnteral feedingskill 24. administration of a bolus feeding (ng, nj, gastrostomy)skill 25. administration of ng, nj, and gastrostomy continuous feeding Ostomiesskill 26. changing a fecal ostomy applianceskill 27. emptying an ostomy pouchEemasskill 28. administration of enemas Genitourinaryskill 29. urinary catheterizationMusculoskeletalCastsskill 30. petaling a cast Tractionskill 31. pin site care External fixation deviceskill 32. care of the child in an external fixation deviceskill 33. pin care, external fixation device NeurologicalExtraventricular drainskill 34. evd: maintaining system at correct level and functioning skill 35. evd: client assessmentskill 36. evd: monitoring cerebrospinal fluid (csf) skill 37. evd: changing the drainage bag skill 38. evd: general nursing care and safetyRespiratoryChest tubesskill 39. assisting with chest tube insertionskill 40. preparing the chest tube drainage systemskill 41. care of the child with a chest tube skill 42. assisting with removal of chest tubeOxygen therapyskill 43. oxygen administration via nasal cannula, mask, hood, tent, blow-by cannulaRespiratory suctioningskill 44. bulb suctioningskill 45. nasotracheal suctioningTracheostomyskill 46. tracheostomy monitoringskill 47. tracheostomy tube changeskill 48. tracheostomy tube or inner cannula cleaningskill 49. tracheostomy suctioningEndotracheal tubeskill 50. endotracheal tube monitoring skill 51. endotracheal suctioningChest physiotherapyskill 52. positions for cpt Restraintsskill 53. mummy restraintskill 54. modified mummy restraint skill 55. elbow restraint skill 56. wrist and ankle restraint skill 57. jacket restraintTransportingtransporting an infant or childWound careskill 58. wet to dry dressing skill 59. drains jackson-pratt and hemovac
Daytonite, BSN, RN 4 Articles; 14,603 Posts Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience. Oct 23, 2007 Hypotonic IV SolutionsHypotonic solutions have an osmolality (how concentrated a solution is) of less than 240 mosm/liter. They are less concentrated than blood. They exert less osmotic pressure than the fluid in the extracellular compartment which allows water to be drawn from the extracellular fluid. Blood cells will draw these solutions into them causing the blood cells to swell and burst. There is only one hypotonic solution in common use and that is 0.45% sodium chloride (1/2 normal saline). It has an osmolality of 155, a ph of 5.6, and contains 77 meq of sodium and 77 meq of chloride. Continuous infusion can cause dilution and depletion of electrolytes because of the small amount of sodium in this particular mixture resulting in hyponatremia. Because there are no calories in the solution, the patient is going to become calorie depleted as well if it is infused for a long period.There is only one hypotonic solution: 0.45% sodium chloride.Isotonic IV SolutionsIsotonic solutions have the same tonicity as plasma so that when they are infused into a vein, water neither enters or leaves the cells. They have the same concentration as blood. These kinds of iv solutions are used to expand the extracellular fluid volume and do not cause any fluid to move from into or out of the blood cells. Isotonic solutions have an osmolality of 240 to 340 mosm/liter.Isotonic solutions include 0.9% sodium chloride, dextrose 5% in water, dextrose 5% and 2.5% saline, dextrose 5% in water and 0.45% saline, lactated ringer's, dextrose 2.5% in 1/5 strength lactated ringers, 6% dextran and and 0.9% saline, 10% dextran and 0.9% saline and a number of formulated electrolyte solutions (I.E., normosol r, isolyte e, plasmalyte r).Hypertonic IV SolutionsA hypertonic solution is one that has an osmolality greater than 340 mosm/kg. They are more concentrated than blood. Hypertonic solutions exert more osmotic pressure than the extracellular fluid so when these solutions are infused, fluid gets pulled into the vascular system. You want to monitor patients receiving any hypertonic solutions for fluid overload, particularly if they are being given at a rapid rate of infusion.There are many hypertonic iv solutions. Most common ones you will see used are 5% dextrose in 0.45 sodium chloride, 5% dextrose in 0.9% sodium chloride, 5% dextrose in lactated ringer's injection, dextrose 10% in water and 3% sodium chloride.
VickyRN, MSN, DNP, RN 105 Articles; 5,349 Posts Specializes in Gerontological, cardiac, med-surg, peds. Has 16 years experience. Mar 16, 2008 Short, informative video clips from smithsmedical on a variety of topics including acapella (pep), incentive spirometry, and cassette medication delivery:http://videos.smiths-medical.com/
VickyRN, MSN, DNP, RN 105 Articles; 5,349 Posts Specializes in Gerontological, cardiac, med-surg, peds. Has 16 years experience. Mar 26, 2008
*Blessed2BaNRS* 562 Posts Specializes in Neuro. Jun 24, 2008 Wow, this needs to be titled the "Daytonite and VickyRN site!!!" What a wealth of information that you two have posted. I know that I speak for everyone when I sayYou ladies are the best!! What started out as a question about IV help sites has turned into a complete library of helps and aids.