IVRUS BSN, RN

Vascular Access

Member

  • Content

    1,049

  • Visitors

    23,928

  • Followers

    0

  • Likes

    104

All Content by IVRUS

  1. IVRUS

    IVs in the breast

    IVRUS replied to kasekin's topic in General Nursing

    I think that you would be truly amazed at how many nurses do not understand the differences in IV catheters. I am really glad that you do seem to get it. Also, if you've seen PICC's placed in...
  2. IVRUS

    Reaction to rocephin

    IVRUS replied to NickiLaughs's topic in Patient Medications

    I believe what you witnessed here was Speed Shock. Whenever a foreign substance, in this case IV Rocephin, is given too rapidly, the body can develop this malady. RedneckRedman Syndrome is unique to...
  3. IVRUS

    PICC line blood draw

    IVRUS replied to greyL's topic in General Nursing

    You are right Blondy.. If IVF were infusing in a lumen, they should be stopped for a full minute prior to the blood draw. I also would worry about iatrogenic anemia if one was wasting 20 cc each time...
  4. IVRUS

    are filter needles necessary?

    IVRUS replied to brownbook's topic in Patient Medications

    Yes the glass shards are detrimental! Think of those pieces of glass going into the IV catheter and scraping the inner lumen of the vein (Tunica Intima) and the process of phlebitis and thrombus...
  5. IVRUS

    what can you do when a nurse sets you up

    IVRUS replied to oatmeal's topic in LPN, LVN Corner

    I would NOT lay down my weapons yet. Your supervisor has someone he/she answers too, correct? That is the person in which I would appeal to next. Fight for the right thing. But if the DON is...
  6. IVRUS

    IVs in the breast

    IVRUS replied to kasekin's topic in General Nursing

    Van, You, yourself posted this: Psst... A central line is going to take just as long if not longer than a PICC So... It appears that you are saying here that a central line is different than a PICC....
  7. IVRUS

    Where PICC lands!

    IVRUS replied to bethchpn's topic in Infusion, Intravenous

    Well the problem as I see it is this: If you do NOT do a repeat CXR, and the patient is harmed somehow, all you have to show in a court of law is a malpositioned PICC. You absolutely want...
  8. IVRUS

    IV push timing?

    IVRUS replied to molliemiko's topic in Infusion, Intravenous

  9. IVRUS

    Is this true?

    IVRUS replied to OyWithThePoodles's topic in Infusion, Intravenous

    Emergency nursing has a completely different set of objectives... However, that is why once a line has been placed in the ER, or even in a non-traditional setting like a MVA site, the IV catheter...
  10. IVRUS

    Is this true?

    IVRUS replied to OyWithThePoodles's topic in Infusion, Intravenous

    ???????????????
  11. IVRUS

    PICC lines

    IVRUS replied to Courtney Nurse Writer's topic in Infusion, Intravenous

    Good for you for recognizing that being able to flush, but NOT obtaining a blood return is NOT OKAY. One MUST get a brisk, free flowing blood return from all Central IV catheters, including
  12. IVRUS

    Is this true?

    IVRUS replied to OyWithThePoodles's topic in Infusion, Intravenous

    Muno, Muno, Muno..... Why you have such an aversion to INS standards of practice, I'll never know!!! However, while INS Standards of Practice aren't mandatory, and aren't laws per se', they SHOULD be...
  13. IVRUS

    IV push timing?

    IVRUS replied to molliemiko's topic in Infusion, Intravenous

    Most PICC's hold a total of 1 to 1.5 mls. PIV's hold a fraction of that. The timing should begin once you start the push the medication into the vein. And remember, that once it hits the vein, it...
  14. IVRUS

    IVs in the breast

    IVRUS replied to kasekin's topic in General Nursing

    A PICC is a central line. Normally, a PICC can be placed in 1.5-2 hours. This time frame covers the thorough chart review and the line placement in a cooperative adult. A non-tunnelled,...
  15. IVRUS

    PICC Line: Flushes, But No Blood Return

    IVRUS replied to SleeepyRN's topic in General Nursing

    These citations are appropriate if you are speaking to flushing. What I referred to is aspiration when assessing for a blood return. You may join this organization for free (researchgate.net), and...
  16. IVRUS

    IV starts in arm with a DVT

    IVRUS replied to freezin's topic in General Nursing

    You are correct. As long as it is not thrombosed and infected, anticoagulate the line and restore its
  17. IVRUS

    Math problems

    IVRUS replied to mariok's topic in Nursing Student Assistance

    Another way to look at it is that if this first patient had these fluids at 75cc/hr, how many hours would it take for the entire liter to infuse? Doing math, you should come up with 13.3 hrs. then...
  18. IVRUS

    Fluid and Electrolytes

    IVRUS replied to Mfrazr's topic in Nursing Student Assistance

    I would hold the HCTZ, and then address the hyokalemia immediately! Is the patient a dialysis patient? Do they need to be dialyzed? A creatinine of 8 tells me that there is little kidney function...
  19. IVRUS

    migraines and work

    IVRUS replied to RobotNurse's topic in Health, Stress Management

    Please remember that there are OTC medications, along with Rx drugs which will work well to decrease migraine exacerbations. Try: 1. Quercetin 400 mg po daily or BID 2. Bromelain 300mg 3. Bromelain...
  20. IVRUS

    IV starts in arm with a DVT

    IVRUS replied to freezin's topic in General Nursing

    If the patient has a confirmed DVT in one arm, the circulation in that arm is already impaired, so why, oh why, would someone put a line in that exact arm? It is never a good idea. Heparin ran through...
  21. IVRUS

    Have any of you ever left a tourniquet on a patient after an iv start?

    IVRUS replied to Mursechico's topic in General Nursing

    One of the things I tell my students to do is this: Our IV start kits come with the tourniquet tightly rolled up with a small rubberband around it. Once you remove the tourniquet from the IV kit,...
  22. IVRUS

    What type of needle do you use when drawing up from glass ampoules

    IVRUS replied to jamsandwich2015's topic in General Nursing

    A 5 micron filter needle or filter straw should be used when drawing out of a glass ampule. Glass ampules do allow for a longer shelf life, and are appropriate for medications which should not be...
  23. IVRUS

    Question: Drawing Blood from Portacath

    IVRUS replied to Benj2610's topic in Infusion, Intravenous

    Yes, readtheevidence... I totally agree with you! The increased manipulation which includes blood drawing, has been shown to increase line infections. Many Infectious Disease docs write orders to...
  24. IVRUS

    Nursing assistant reconnected dirty IV line

    IVRUS replied to jamsandwich2015's topic in General Nursing

    I would have immediately exclaimed, " Oh my, the IV tubing is dissconnected, Hold on, I will go get new tubing and fix it." That way you have made your intentions known, and let the CNA off the hook...
  25. IVRUS

    Is this real? Vein light

    IVRUS replied to ladysushi's topic in General Nursing