Sunday, October 7, 2012

Cannula and Peripheral IV line insertion



Contraindications

Absolute Contraindications: None

Relative Contraindications:

    Avoid extremities that have massive edema, burns, or injury; in these cases other IV sites need to be accessed.

    Avoid going through an area of cellulitis; the area of infection should not be punctured with a needle because of the risk of inoculating deeper tissue or the bloodstream with bacteria.

    Avoid extremities with an indwelling fistula; it is preferable to place the IV in another extremity because of changes in vascular flow secondary to the fistula.

    An upper extremity on the same side of a mastectomy should be avoided, particularly if an axillary node dissection was carried out, because of concerns of previous lymphatic system damage and adequate lymphatic flow.

    Very short procedures performed on pediatric patients, like placement of ear tubes

    Bleeding diathesis

    Medication administration that will take longer than 6 days (preference is then for a peripherally inserted central catheter)

    Type of fluid to be administered through peripheral IV is too caustic; hypertonic solutions and some therapeutic agents should not be infused in a peripheral IV.

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