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Peripheral Intravenous Therapy - Essay Example

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This essay is about changing the management of peripheral intravenous therapy in an intermediate rehabilitation ward. The essay is focusing on the efforts of a specialist practitioner, who will work with the qualified nurses to 'unfreeze' them from the current position and induce a change in Peripheral Intravenous Therapy management area.
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Peripheral Intravenous Therapy
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Download file to see previous pages These nurses should be trained and educated to take over the role. As it is the responsibility of the management of the hospital including medical staff and nurses to undertake the basic principle that the patients have the right to receive a uniform standard of care, regardless of who they are and where they are treated (Department of Health document, 2000).
Peripheral Intravenous Therapy refers to the injection of liquid substances directly into a vein of arm, hand, leg, foot and scalp which can be intermittent or continuous. A peripheral IV line consists of a short catheter (a few centimeters long) inserted through the skin into a peripheral vein. A peripheral vein is any vein that is not located in the chest or abdomen. Arm and hand veins are typically used although leg and foot veins are occasionally used. On infants the scalp veins are sometimes used. Part of the catheter remains outside the skin, with a hub that can be connected to a syringe or an intravenous infusion line, or capped with a bung between treatments (Intravenous-therapy, 2006).
Today, hospitals use a much safer system in which the catheter is a flexible plastic tube that originally contains a needle to allow it to pierce the skin; the needle is then removed and discarded, while the soft catheter stays in the vein. The external portion of the catheter, which is usually taped in place or secured with a self-adhesive dressing, consists of an inch or so of flexible tubing and a locking hub. (Intravenous-therapy, 2006)
A peripheral IV cannot be left in the vein indefinitely, because of the risk of insertion-site infection leading to cellulitis and bacteremia. Hospital policies usually dictate that every peripheral IV be replaced (at a different location) every three days to avoid this complication (Intravenous-therapy, 2006).
The use of intravascular devices can be complicated by a variety of local or systemic infectious events. Catheter related infections, particularly catheter related blood stream infections, are associated with increased morbidity, mortality and prolonged hospitalization. (Management, 1998:pg 1)
Risks associated with the peripheral IV route are summarized as follows:
Bolus injection
Anaphylaxis/anaphylactoid reactions
Speedshock
Infiltration or extravasations
Phlebitis
Intermittent infusion
Anaphylaxis/anaphylactoid reactions
Infiltration or extravasations
Phlebitis
Fluid overload
Medicine error - rate too fast or slow
Continuous infusion
All of the above
Incorrect rate - overdose
Anaphylaxis
Anaphylaxis is a systemic immediate hypersensitivity reaction caused by an immunoglobulin(Ig)-E-mediated immunological release of mediators from mast cells and basophils. Anaphylaxis can have life-threatening consequences (Henderson, 1998:pg 49-53).
Speedshock
An associated hazard with peripheral IV therapy is Speedshock, and as a systemic reaction that occurs when a substance that is foreign to the body is rapidly introduced (Plumer et al, 2001).
Phlebitis
Phlebitis is an acute inflammation of a vein directly linked to the presence of any vascular access device (Jackson, 1998:pg 68-71). Many clinical areas now consider it good practice to use a phlebitis scale. (Panadero et al, 2002:pg 921-925).
Infiltration
Infiltration refers to the inadvertent administration of a ...Download file to see next pagesRead More
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The topic of "Peripheral Intravenous Therapy" is quite popular among the tasks in college. Still, this essay opens a brand new perspective of seeing the issue. I’ll use the idea for my own sample.

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