IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Flo Valley Fall 2015

    IVRUS replied to lk517's topic in General Students

    Wow, burning bridges already and you're not even a Nursing student yet!!
  2. IVRUS

    New to Infusion

    IVRUS replied to BeachsideRN's topic in Infusion, Intravenous

    I'd start by joining your local chapter of Infusion Nurses Society (INS). Getting involved with IV therapy and having fellow nurses to network and assist you in your journey is important. Go to...
  3. IVRUS

    IV Vaso-Vagal HELP

    IVRUS replied to John Gonzalez's topic in Infusion, Intravenous

    Please remember that Vasovagal reaction is manifested by VASOCONSTRICTION. Your entire peripheral system shunts blood to the vital organs, as you are likely to faint. When vessels constrict, short...
  4. IVRUS

    Removing the PICC line where there is a DVT?

    IVRUS replied to CPLibra's topic in Patient Safety Issues

    As long as you have a PICC that ONLY has involvement with a Thrombus, then research shows that it is important to savage it and lyse the clot with a 4-6 hr infusion. But, if it is thrombosed and...
  5. IVRUS

    Dual Lumen Midlines and Drug Compatibility

    IVRUS replied to MikeyT-c-IV's topic in Infusion, Intravenous

    Mikey, We know that you don't have the blood flow in your arms versus the central vascular system. Therefore, IMO, it is NOT wise to give two incompatible medications at the same time into an IV...
  6. IVRUS

    Flagyl compatibility with D51/2NS

    IVRUS replied to baby_nurse27's topic in Patient Medications

    It can be confusing, but Gahart's guide to IV medications state that Flagyl is compatible with NS, D5W and
  7. IVRUS

    IV iron infiltrated

    IVRUS replied to darren_callcareer18's topic in General Nursing

    If you are speaking to IV Venofer, it has a high pH and can be very irritating to the tissues. Ideally, this is not a medication I would want to infuse into a short term, less than 3 inch IV...
  8. IVRUS

    Blood transfusion and IV cannula.

    IVRUS replied to Nursing Au's topic in Infusion, Intravenous

    AU, you are correct. Most 20 gauge 1 inch IV catheters have flow rates of 60 to 65 mls A MINUTE. 60 ml x 60 minutes is 3600 mls/ hr. Milliliters per hour will vary of course, depending on gauge of...
  9. IVRUS

    Normal saline bag.

    IVRUS replied to Nursing Au's topic in Infusion, Intravenous

    So, Are you a pharmacist and are doing these preparations for nursing staff under a Laminar Flow Hood in a Compounding Room? I am sorry, but I was under the impression that you were a nurse doing...
  10. IVRUS

    Normal saline bag.

    IVRUS replied to Nursing Au's topic in Infusion, Intravenous

    I don't understand why in the world you are doing this. If you are giving a drug and you want it diluted in a diluent, and you have a 250 bag, why draw out 50?? Use the 250ml bag. Each manipulation...
  11. IVRUS

    IV Fluids Infiltrated w/o pain?

    IVRUS replied to jberna4's topic in Patient Medications

    Most of the time, pain isn't felt with IV fluids as long as the IVF is isotonic, or near isotonic. Pain is often associated with extravasations.. or when a Vesicant or an Irritant medication comes...
  12. IVRUS

    Drawing labs from CVCs

    IVRUS replied to Kastiara's topic in General Nursing

    Research into this topic has "not established the length of time for stopping fluid flow" according to Infusion Nurses Society (INS). One study suggested a wait time of 10 minutes before drawing...
  13. IVRUS

    Would you hang these IVs?

    IVRUS replied to Christina_'s topic in Nursing Student Assistance

    If the patient has a pH of 7.50, he/she is already Alkalotic. The Lactate Ion converts in the Liver to Bicarbonate. If this person has already tipped the 1:20 ratio of Acid vs Base, giving Lactated...
  14. IVRUS

    Placing PIV in stroke affected arm (Evidence Based research)

    IVRUS replied to Tracykg's topic in Infusion, Intravenous

    I don't know why you need a research article if a complications is known to have a direct correlation to the cause. I guess that someone figured this out a long, long time ago, but how would having...
  15. IVRUS

    Placing PIV in stroke affected arm (Evidence Based research)

    IVRUS replied to Tracykg's topic in Infusion, Intravenous

    In order to get appropriate venous return to the heart, it requires the use of the muscle pump action in the arm. If one is flaccid, that is impaired. Thrombosis and venous stagnation are two...
  16. IVRUS

    Did you get much training when you started infusion nursing?

    IVRUS replied to northmississippi's topic in Infusion, Intravenous

    OM Gosh... "sticking" someone is a minuscule part of a Vascular Access Nurses responsibilities. I believe that you should have a good year or two on Med Surg and then have a proficiency with Vascular...
  17. IVRUS

    Quick Head to toe?

    IVRUS replied to NurseTman's topic in Medical-Surgical

    I love to see what others have found useful, as it greatly helps my students too.. can you sent it to
  18. IVRUS

    PICC line list for patients

    IVRUS replied to gonzo1's topic in General Nursing

    I understand that in many Hospital settings, a CHG daily bath is part of the central line protocol. But, outside of the hospital walls, I don't know one institution, or home care agency that has that...
  19. IVRUS

    Question about priming tubing

    IVRUS replied to aship's topic in General Nursing

    Sarhat, That is an absolute crazy policy. So, are you saying that there is air in the administration set, and you are using a syringe to flush that, and whatever IVAB is left into the patient? The...
  20. IVRUS

    Question about priming tubing

    IVRUS replied to aship's topic in General Nursing

    A secondary medication, when attached to a primary tubing, may hang for 96 hrs if backprimed and NOT disconnected. The secondary medication which is dis-connected from the primary, is to be changed q...
  21. IVRUS

    Heparin Drips And Lab Draws

    IVRUS replied to Mr. Murse's topic in General Nursing

    Infusion Nurses Society standards state that an infusion, should be STOPPED prior to drawing labs for at least TWO minutes. Many IV pumps, when put on hold, will beep after two minutes, so that might...
  22. IVRUS

    IV pump basics

    IVRUS replied to random666's topic in General Nursing

    Yes, The secondary must hang higher, and remember that a secondary set is for use with a primary that has a pressure sensitive back check valve. Secondary sets don't hang by themselves, and they...
  23. IVRUS

    IV therapy/infusion clinic

    IVRUS replied to Name9335's topic in General Nursing

    I disagree Annie. My love has been IV nursing for 28 years, or since 1990. In 1999, Life happened, and I went back to Hospital nursing for 4 years, and then came back to IV therapy. IV therapy is a...
  24. IVRUS

    Picc line accidentally pulled out 5 cm.

    IVRUS replied to ncrete1220's topic in Infusion, Intravenous

    This is ONLY acceptable in the few hours or a day after placement. Doing an exchange is not an acceptable practice once the catheter has been dwelling for some
  25. IVRUS

    Picc line accidentally pulled out 5 cm.

    IVRUS replied to ncrete1220's topic in Infusion, Intravenous

    Yes.. As Wuzzie said, THIS IS A NO-NO!! Once sterile field is broken, one can NEVER push a catheter back