Peripheral Venous Access Guide
Translated by
ScribdTranslationsPeripheral Venous Access Guide
Translated by
ScribdTranslationsVENOUS ACCESS
Peripherals
Mr. Jose Linares
INTRODUCTION
Intravenous infusion therapy is a
procedure with purposes
prophylactic, diagnostic or therapeutic
which consists of the insertion of a catheter
in the light of a vein, through which it
they infuse liquids into the human body,
medications, blood or its components
that allow to reestablish or preserve the
balance hydroelectrolytic o
hemodynamic of the patient.
DEFINITIONS
Peripheral venous access
Antisepsis.
Semipermeable transparent dressing
Asepsis
Maximum barrier
Peripheral venous catheter
Aseptic technique
Sterile technique
Venipuncture
INPUTS
MATERIAL TEAM
Ligature Trip
Peripheral venous catheter Pasteur Table
Intravenous infusion equipment Torundera
Solution to infuse
Torundas
Gloves
Face mask
Semi-permeable transparent dressing
TYPES OF
catheter
VENAS TO PUNCTURE
PROCEDURE
The puncture site should be chosen on a
Explain to the patient. distal area of the body, mainly in
the non-dominant thoracic member. The
Placement of face masks
subsequent punctures must be performed
Hand washing close to the initial insertion site.
Preparation of material and equipment.
Evaluateperipheralvein.
Tourniquet
Glove placement
Venous puncture with catheter bevel towards
up with aseptic technique.
THE PUNCTURE
ERRORS IN THE PUNCTURE
FIXATION
Placement of semi-permeable transparent dressing
The fixation of the catheter and support splint must be performed using techniques and
harmless materials for the patient, avoiding the use of adhesive fabric.
The catheter must be secured without interfering with the flow of the infusion.
The indicator must contain the catheter gauge number, date, time, and name of
who installed.
COMPLICATIONS
Phlebitis: Inflammation of a
vein.
INFILTRATION
It is the inadvertent administration of a
non-vesicant solution or medications in
the tissue adjacent to the insertion site.
Non-vesicant to a medication
intravenous, the drugs administered that
they generally do not cause harm to the
fabrics.
EXTRAVASATION
It is the inadvertent administration of
a solution or medication
vesicant in the adjacent tissue to
insertion site.
Extravasation
Extravasation is understood as the
intravenous drug leakage to the
surrounding tissues, which in some
in some cases the damage can continue for months
and may involve nerves, tendons, and
joints whose treatment consists
in surgical debridement, grafts
cutaneous, and in some cases amputation.
Hematoma
It is the accumulation of blood in the
subcutaneous tissue due to the
extravasation of blood.
Her presence may be
related to failed attempts of
catheter installation
RECOMMENDATIONS OF THE
NORM.
The infusion devices must be changed every 24 hours if it is
infusing a hypertonic solution: 10% dextrose, 50% and TPN, and every 72
hours in hypotonic and isotonic solutions. In case of contamination or
precipitation must be changed immediately.
Scissors should not be used to remove the fixation materials, except for
for the removal of sutures that hold the venous catheter to the skin.
The recommended antiseptics for skin asepsis are: 70% alcohol,
iodopovidone from 0.5 to 10% and chlorhexidine gluconate at 2%.
RECOMMENDATIONS OF THE
NORM.
In newborns, the antiseptic of choice is 70% alcohol, the use of
0.5% chlorhexidine gluconate solutions will be subjected to evaluation.
medical, as well as the iodized/iodophores due to their potential deteriorating effect of the
thyroid function, in case it is used, it is recommended once it is dried, its
complete removal with saline solution at 0.9%.
The cleaning of the insertion site for peripheral catheters will be done only in
in case the dressing is wet, dirty, or detached, to the extent that it compromises
la permanencia del catéter.
RECOMMENDATIONS OF THE
NORM.
The short peripheral catheter must be systematically removed every 72 hours and
immediate, when contamination or complication is suspected, as well as when
discontinue the therapy.
The systematic change of the peripheral catheter in children, the elderly, and
patients with limited venous access. In these cases, they must be left
placed until the treatment is completed unless an exception is presented
complication.
CONCLUSION
In infusion therapy, implement improvement actions for biosecurity.
patient and stay trained for the use of intravascular catheters, the
appropriate procedures for the insertion and handling of them and the
appropriate control measures to prevent related infections with
catheters.
Thank you for your attention