Kaplan : Pharmacological And Parenteral Therapies

0.9% NaCl, LR, D5W

0.45% NaCl

D10W

...

72 hours

24 hours

Gentamicin, Penicillin, Vancomycin, Dilantin, antineoplastics, Calcium, Potassium, Epinephrine

a med or IV solutions that cause blisters and tissue sloughing

Know meds that can cause this. Place IV in larger veins. Assess patency of site before medication administration. Stop IV if infiltration occurs. Aspirate if infiltration occurs. Apply cool compresses except for Vinco neoplastic drugs.

discontinue IV, warm, moist compresses, restart IV at new site.

ecchymosis, swelling, leakage of blood

discontinue IV, apply pressure, ice bag 24 hours, restart IV in opposite extremity

decreased flow rate, back flow of blood into tubing

discontinue, do not irrigate, do not milk, do not increase rate of flow or hang solution higher, do not aspirate cannula, inject Urokinase

— Pneumothorax — Dysrhythmias, thrombophlebitis — Nerve or tendon damage — Respiratory distress — Embolism

— Change dressing 2 - 3 times a week, when wet or nonocclusive. — Flush with 2 ml normal saline followed by 5 ml heparin 100 u/ml into each lumen.

- Complications of MLC — Thrombosis — Phlebitis — Air embolism — Infection — Vascular perforation

— Change dressing 2 — 3 times a week, when wet or nonocclusive — Flush with 5 - 10 ml normal saline followed by 5 ml heparin 100 u/ml into each lumen q 12 h or after each infusion — Anchor securely

Placed supine in head-low position. Turn head away from procedure. Perform Valsalva maneuver. Antibiotic ointment and transparent sterile dressing. Verify position with x-ray.

— Change site q 4 wk. — Change tubing q 24 h. — Flush with diluted heparin solution BID, after infusion, specimen withdrawal, and when discontinued. — Dressino chance 2 - 3 times a week. - Mask is used.