IVRUS BSN, RN

Vascular Access

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All Content by IVRUS

  1. IVRUS

    Infusion Nurse Society

    IVRUS replied to CRNI(R)'s topic in Infusion, Intravenous

    WOW... Out of touch. Hmmm. Is this the pot calling the kettle black? I'm just saying!! Are you even a part of Infusion Nurses Society, or just its critic because you have little to no knowledge about...
  2. IVRUS

    IV pump height safety?

    IVRUS replied to markjrn's topic in General Nursing

    Ideally, The pump should be screwed onto the lower base. If it is screwed onto the upper portion it could be problematic because: 1. the upper part is the part that pivots up and down. If it is...
  3. IVRUS

    Again... air bubbles in CVC

    IVRUS replied to creo's topic in Infusion, Intravenous

    Okay, But how do you know that there is air in the
  4. IVRUS

    Blood Type and RH status

    IVRUS replied to cantwait2graduate's topic in General Students

    Remember that Rh negative and Rh positive relates to the presence or the abscence of the D antigen. If the D antigen is present on the cell, the person is Rh +, if the peson does not have the D...
  5. IVRUS

    Again... air bubbles in CVC

    IVRUS replied to creo's topic in Infusion, Intravenous

    Are you asking what you should do if a central line is found with its cap off and the lumen is left OTA and is unclamped? Yes, I would take a syringe and attempt to aspirate, removing air and blood...
  6. IVRUS

    What type/ brand of PICC do you use?

    IVRUS replied to sorlando's topic in Infusion, Intravenous

    I can tell you from my experience, that the Power SOLO PICC should be flushed MORE frequently, and we actually heparinize them with 10unit per ml heparin flush q 12 hours secondary to their propensity...
  7. IVRUS

    Fluid/Electrolyte question

    IVRUS replied to koko2002's topic in General Students

    koko2002... First of all, it's important to remember that all solutions and infusion medications are compared to what NORMAL SERUM OSMOLARITY is... which is approx. 290. For a solution to be...
  8. IVRUS

    When IV's aren't in use

    IVRUS replied to Mommy of 2's topic in Medical-Surgical

    kayty83, What you're describing is not wrong. If the primary, liter bag stays connected to the patient so as to infuse the solution at an MD ordered rate, then the secondary IV tubing can be back...
  9. IVRUS

    Calculating IV Flow Rate (PIGGYBACK)

    IVRUS replied to nycNurse2b's topic in Geriatric, LTC

    So, are you saying that you are NOT using a Pump? But rather, a dial-a-flow, or an online regulator for the primary set and then you are using a secondary set to infuse an antibiotic? Well, Remember...
  10. IVRUS

    A question about Adenosine

    IVRUS replied to Aerin's topic in Emergency

    In all my years of nursing... I've NEVER seen Adenosine pushed SLOWLY... It has a half life of approx. 5 seconds.. So if you push it slowly, or push it into a side port of a slow running IV catheter,...
  11. IVRUS

    Hypotonic, isotonic, and hypertonic I.V. solutions? When are they used?

    IVRUS replied to mookieslife's topic in General Students

    In actuality, since normal serum osmolarity equals 290, a solution IS considered isotonic if it is between 240 and 340 osmolarity (+ or - 50 on either side of the 290) So, a solution isn't hypertonic...
  12. IVRUS

    vancomycin in end of life?

    IVRUS replied to rainbowsandsunshine's topic in Geriatric, LTC

    You did nothing wrong with the information you provided here. Vancomycin should run over at least 60 minutes, and I advocate that it should run over 90 minutes if you are giving over a gram of vanc....
  13. IVRUS

    I suck at IV starts

    IVRUS replied to what2donow's topic in General Nursing

    As a nursing student you will hopefully learn that it is NOT "okay" to "kind of dig" to find the vessel... There are major nerves near blood vessels and you could cause your patient great pain, not to...
  14. IVRUS

    I suck at IV starts

    IVRUS replied to what2donow's topic in General Nursing

    Second post I've seen regarding this website.. Which will not open for me,
  15. IVRUS

    Ambulate with Femoral Lines

    IVRUS replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    First and foremost, Femoral IV catheters should be avoided whenever possible.. But in an emergency, place it and then remove it ASAP. Not only do infection rates skyrocket when these catheters are...
  16. IVRUS

    Diff b/w PICC and Central Line

    IVRUS replied to angelique777's topic in Infusion, Intravenous

    Well, One reason a MD placed line may be ordered vs. a PICC line is that a line placed by an MD can be quickly placed, quickly verified and then subsequently promptly used. Yes, an MD placed line is...
  17. IVRUS

    Needle gauges...

    IVRUS replied to nurse blondie93's topic in General Nursing

    Sorry Lord, But you can, and should always use the smallest gauge and length IV catheter for the prescribed therapy, per INS guidelines. If I am infusing it fast, like one unit over an hour, then...
  18. IVRUS

    Needle gauges...

    IVRUS replied to nurse blondie93's topic in General Nursing

    But remember.. If your giving a unit of blood to the frail, elderly individual, a 22 gauge works well. The is no reason to use anything bigger, unless you need to pour the unit into them, like in the...
  19. IVRUS

    TPN and Lipids

    IVRUS replied to Nurse1966's topic in Infusion, Intravenous

    bisiegel, Though I understand the 200gm/2L with a 10% osmolarity ~ 505... However, That is not the sum total of each and every admixture in the bag. The final admixture of the TPN is what has to be...
  20. IVRUS

    TPN and Lipids

    IVRUS replied to Nurse1966's topic in Infusion, Intravenous

    The EDUCATOR needs education. First of all, just because a PICC starts in the peripheral vascular system, doesn't mean that it is a Peripheral Access Device. So a PICC is a Central Catheter. As so...
  21. IVRUS

    One math prob that could help please regarding infusion rate

    IVRUS replied to TJG21's topic in Nursing Student Assistance

    There is really not a whole lot of need to memorize anything but the formula to figure out flow rate, in this situation. If you have 500 cc going in over 4 hours, you will follow the formula to...
  22. IVRUS

    How to measure IV fluid level in plastic container?

    IVRUS replied to stardust0509's topic in General Nursing

    That is one of the disadvantages of plastic bags: The fluid levels are difficlut to read. However, each long incremental marking on a liter bag is 100cc, shorter marks are in 50cc increments by most...
  23. IVRUS

    Drawing Labs from IV Line

    IVRUS replied to abundantjoy07's topic in General Nursing

    Where the catheter tip terminates makes a HUGE difference! Standards put forth by INS (Infusion Nurses Society) state that drawing labs from a short term peripheral IV catheter, i.e. a catheter less...
  24. IVRUS

    IV Drip Calcs SAVE ME PLEASE!!!

    IVRUS replied to ToInfinityAndBeyond's topic in LPN to RN

    But there is support here... and if you'd like, send me a private message anytime, and I'll answer any question that you have to the best of my ability. Don't fret, life is full of challenges, but...
  25. IVRUS

    central line blood sampling

    IVRUS replied to piccemrn1's topic in Infusion, Intravenous

    Yes there are dfferences in opinion... Infusion nurses have been teaching for years to flush using the push-pause, pulsating method. As Alice stated, it was in hopes of clearing the line from blood...