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Start an Intravenous Infusion
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Administering Intravenous Fluids Through a Saline Lock
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Obtain and Check Supplies
• Obtain the following: IV bag, IV infusion set, 18 gauge needle/catheter unit, tape
• Check IV bag for expiration date, clearness of fluid, tears, fluid leakage, and contamination
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Prepare the Intravenous Infusion 1
• Remove infusion set from package
• Loosen the clamp, move the clamp along the tubing until it is 6 to 8 inches from the drip chamber, and tighten clamp
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Prepare the Intravenous Infusion 2
• Remove protective covering from outlet port (long spout) on IV bag
• Remove protective cap from the spike on the infusion set without touching the spike
• Insert spike into exposed IV outlet port with a twisting motion
IV Tubing Port
Medication Port081-T-1012-5
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Prepare the Intravenous Infusion 3
• Squeeze the drip chamber until half of the chamber is filled with IV solution
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Prepare the Intravenous Infusion 4
Remove air from the tubing by:
• Holding the end of the tubing above the bottom of the bag
• Loosening the tubing clamp to allow fluid into the tubing
• Loosening protective cap on adapter to allow air to escape from tubing
• Gradually lowering tubing until fluid reaches end of adapter
• Reclamping the tubing and retightening the adapter cap
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Insert Catheter/Needle 1
• Remove 18-gauge catheter/needle unit from package
• Hold catheter/needle unit in dominant hand and stabilize the saline lock adapter with thumb and forefinger of nondominant hand
• Insert catheter needle unit through Tegaderm dressing and saline lock adapter until it reaches catheter hub
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Insert Catheter/Needle 2
• Remove nondominant hand from saline lock, place finger/thumb of nondominant hand over vein just beyond the catheter tip, and apply pressure to vein
• Retract and discard needle (catheter stays in place)
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Connect IV Tubing
• Grasp end of IV tubing with dominant hand and remove adapter from tubing
• Grasp the hub of the catheter (outside Tegaderm dressing) with thumb and forefinger of nondominant hand
• Insert end of tubing into hub of catheter
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Adjust Flow and Secure Tubing 1
• Loosen clamp on tubing (about ½ way) to allow IV solution to flow into drip chamber
• Unroll about 2 inches of tape
• Place tape (sticky side up) on casualty’s limb and under IV tubing a few inches beyond catheter hub and beyond Tegaderm dressing
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Adjust Flow and Secure Tubing 2
• Fold tape strip back over tubing, trapping tubing between sticky sides of tape
• Wrap additional tape around limb and IV tubing distal to first
• Ensure tubing is secure and IV flow is not impeded
• Check infusion site for signs of infiltration
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Signs of Infiltration
• Unusual pain at infusion site
• Swelling or redness at infusion site
• Infusion site is cool to the touch
• Clear fluid leaking around the site
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Discontinue the IV 1
• Due to evacuation
• IV fluid has been used up
• Infiltration
• Other reasons
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Discontinue the IV 2
• Adjust clamp on tubing so flow is stopped
• Loosen and remove tape
• Remove IV catheter hub that is outside Tegaderm dressing
• Saline lock adapter may remain in place for later use
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Remove Catheter from Vein
• Grasp catheter hub and remove catheter from vein at an angle almost parallel to skin
• Cover puncture site with gauze dressing and hold pressure until bleeding stops
• Tape dressing in place
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