IVRUS BSN, RN

Vascular Access

Member
  • Content

    1,049
  • Visitors

    24,021
  • Followers

    0
  • Likes

    104

All Content by IVRUS

  1. IVRUS

    infusing lipids?

    I would be piggybacking the Lipids into the TPN, but into the port below the filter. TPN without Lipids will, or should infuse via .22 micron filter... but Lipids cannot go into that small of a filter...
  2. IVRUS

    infusing lipids?

    Lipids can infused seperately, or if they are compounded in the pharmacy under a laminar flow hood, then the may arrive as a 3 in 1 solution. This is where the three main ingredients of TPN:...
  3. IVRUS

    IVP meds- is this safe?

    If you are only giving an IV medication one time a week, and you have a Valved IV catheter, then I agree, the cap is changed weekly after the med is in, and you perform the last flush on the line....
  4. IVRUS

    Flushing with Sterile Water

    Sterile Water should NEVER be used as a flush solution. It has an osmolarity of 0. Therefore, every blood cell that it comes in contact with will swell and burst! I also would not advocate drawing...
  5. IVRUS

    Questions on becoming IV nurse

    What type of "lines" are you wanting to
  6. If those 20 hours were part of the program for you to become a RN, then no, they wouldn't count towards fulfilling the requirement as the intent is continuing education needed for all medical...
  7. Not sure how you came to the conclusion that I was implying that one could take 0.45% Sodium Chloride and add an additional bag of equal ingredients and it becomes NS??? But, if so, that wasn't my...
  8. IVRUS

    Crazy Labs

    Remember, the body always WANTS to be in a state of homeostasis. When your body is in homeostasis, in each given space (ECF or ICF) you have an equal amount of cations to anions. When there is a...
  9. IVRUS

    Internal jugular IV

    Removal of IV catheters, especially Central lines, should be done with the insertion site BELOW the level of the heart. Therefore, I would NOT remove it while the patient is sitting up in the chair....
  10. IVRUS

    conversions? help

    Think of this and other similar problems by utilizing the formula want/have x volume. Want 30mg. Have 20 mg in one ml. 30 divided by 20, times 1 =
  11. IVRUS

    Phlebotomy/tourniquet help

    Do not stress about this! Taking a tourniquet and applying it correctly will become second nature to you once you've done it several times. However, a few key points: 1. Remember that the arm color...
  12. Normal Saline (NS, 0.9% Sodium Chloride) is Isotonic. This means that its milli osmo's are around 290, which is the same as normal serum osmolarity/osmolality (you'll see it addressed by some both...
  13. No, there are no specifics as to the program needed... ie, In Texas, there are mandatory recertification topics that must be completed before recertification. But, Illinois does not have those...
  14. IVRUS

    I shouldn't be a nurse

    Wow... There is not one person alive who hasn't made a mistake. Did your patient die? Was it a systems error, or operator error? Systems error: Facility bought from a manufacturer whose saline...
  15. IVRUS

    Why no blood draws??

    If you think about it, short term peripheral IV catheters less than three inches in length, are small catheters usually in a narrow diameter vessel. Therefore, drawing labs from this type of IV...
  16. IVRUS

    Help-Freaking out- seeing patients on my own!!

    I would be concerned too if I were just coming back into the nursing field. Three years may not seem like a lot of time, but in Healthcare, the only thing constant is change! You really need to have...
  17. IVRUS

    Ethical Issues in the ICU

    I agree that your respected publications can be used to assist in this endevour, but it appeared to me that the OP was looking for a central theme upon which she could gather additional information....
  18. IVRUS

    Ethical Issues in the ICU

    There are many interesting articles in cyper-space which will be useful for you to get the wheels rolling: Doctor-assisted death: A dad's choice sheds light on national issue - Vitals Assisted...
  19. IVRUS

    PICC LINES

    MUNO wrote: "We actually know quite a bit about the characteristics of incompatibilities and have a good understanding of what would happen given the concentrations, volumes, rates, and flow...
  20. IVRUS

    IVP meds- is this safe?

    Does anyone have any links to evidence-based practice for scrubbing the port before AND between sterile syringes? I'm not challenging at all, I'm totally willing to change my practice if there is!...
  21. IMO, the key here is to go slow with priming the IV tubing. Once the bag is spiked, and the drip chamber 1/3-1/2 full, purge the tubing of air, but do so all-the-while observing the fluid being...
  22. IVRUS

    IVP meds- is this safe?

    Please remember that the ONLY thing that that port protector does, is prevent you from having to do the INITIAL scrub of the needleless connector. After the cap has been removed and thrown away, one...
  23. IVRUS

    huber needle

    Amolucia, You seemed to be asking what additional education does this OP need besides nursing school....WHAT???? Nursing school in no way prepares you to access implanted ports, and in many cases,...
  24. IVRUS

    huber needle

    See
  25. IVRUS

    IVP meds- is this safe?

    The "accepted" practice may differ from facility to facility, but in the world of infusion, one SHOULD scrub with EACH and Every access. Therefore, If you are getting ready to access a needleless...