IV therapy links, and Tips......

Peripheral Venous Access Devices:

• Video: Becton-Dickinson Saf-T-Intima IV Catheter Insertion (click on the image to start the download) http://media.medsch.wisc.edu/photography/video/01.html
• Video: Insertion of Peripheral IV http://mediasite.cidde.pitt.edu/mediasite/Catalog/Front.aspx?cid=173b9208-1b55-4581-b337-c0ba47c1933f
• Video: Insertion of Peripheral IV http://currency.medicine.dal.ca/videos/video1.htm
• Video: IV Access http://meds.queensu.ca/~pmsp/iv/IVrun2.htm
• PowerPoint: http://www.templejc.edu/dept/ems/documents/Presentations/1stSemesterParamedic/IvMedAdmin/IVTher apy.ppt - IV Therapy for emergencies
• Video: Phlebotomy (blood drawing) http://currency.medicine.dal.ca/videos/video3.htm
• https://nursing.advanceweb.com/Common/CE/Course.aspx?CourseID=562&CreditID=1 - Venous Access Devices. Click the link to read the article. There are two pages to the article. (link is good until November of 2008)
• http://www.guideline.gov/summary/summary.aspx?doc_id=8338&nbr=004666&string=central +AND+venous+AND+access+AND+devices - Access device guidelines: recommendations for nursing practice and education. Everything you wanted to know about the insertion, maintenance, complications, removal and more of peripheral and subcutaneous catheters, Midline catheters, PICCs, non-tunneled and tunneled central vascular lines, implanted ports, Apheresis/Hemodialysis Catheters, Arterial Access Devices, Intraventricular Access Devices, Epidural and Intrathecal Access Devices, Intraperitoneal Catheters, and Implanted Pumps
• http://www.childbirths.com/cypress/ivtherapy.htm - IV Therapy - discusses IV devices, IV fluid, vein selection, insertion technique, and solving IV flow rate calculations. Includes drawings/pictures.
• http://www.muw.edu/nursing/IV.htm
• http://www.mrprotocols.com/sset/iv.html - nice pictures of starting an IV!
• http://www.medtrng.com/blackboard/initiate_iv.htm - initiating and managing complications of an IV
• http://www.answers.com/topic/intravenous-therapy?cat=health - Intravenous Drip
• http://employees.csbsju.edu/mbyrne/IVSite/abc_of_ivmain.htm - The ABC's of IV's. Click on links at left side of page to access information.
• http://en.wikipedia.org/wiki/Intravenous_therapy
• http://www.adhb.govt.nz/newborn/Guidelines/VascularCatheters/IVCannulationPreparation.htm - pediatric IVs; diagrams of veins in arms, hands, legs and feet
• http://www.adhb.govt.nz/newborn/Guidelines/VascularCatheters/IVInfiltrationInjuries.htm - Infiltration; clysis in pediatric patients
• http://www.lhsc.on.ca/critcare/icu/procedures/bldwdrw.html - procedure for drawing blood from an IV line. Includes labeled photos
• http://community.nursingspectrum.com/MagazineArticles/article.cfm?AID=12209 - article on phlebitis and infiltration of peripheral IVs
• http://www.netwellness.org/healthtopics/anesthesiology/ivcomplications.cfm - complications of peripheral IV therapy
• http://www.infusionpartners.com/cc/q303.pdf - Preventing IV Therapy Complications, Part 2:
  Mechanical and Bacterial Phlebitis
• http://medi-smart.com/pitfalls.htm - Pitfalls of IV Therapy
• http://www.mccfl.edu/pages/2463.asp - Procedure: Initiating Intravenous Fluids into an Existing IV Site
  
• http://www.mccfl.edu/pages/2478.asp - Procedure: Administering IVP (IV push) medication into an Existing IV Line
  
• http://www.mccfl.edu/pages/2479.asp - Procedure: Administering IVP (IV push) medication via INT (intermittent infusion device)/prn adapter/Lock device
  
• http://www.mccfl.edu/pages/2483.asp - Procedure: Administering IVPB (IV piggyback) Medication via INT (intermittent infusion device)/prn adapter/Lock device
  
• http://www.mccfl.edu/pages/2482.asp - Procedure: Administering IVPB (IV piggyback) Medications into Primary IV Lines
  

Central Venous Access Devices (CVADs):

• http://ht.edwards.com/resourcegallery/products/swanganz/pdfs/cvcquickguide.pdf - QUICK GUIDE TO Central Venous Access; 153 page manual with extensive information
• http://www.nlm.nih.gov/medlineplus/ency/imagepages/19861.htm - illustration of anatomical placement of a central venous catheter
• http://www.nlm.nih.gov/medlineplus/ency/imagepages/19868.htm - illustration of IV and central line sites used in babies
• http://www.gene.com/gene/products/education/vascular/cvads.html - an brief overview of the types of CVADs and the classifications of occlusions of central lines
• http://www.cancerhelp.org.uk/netscape/help/default_printer_friend.asp?page=302 - Chemotherapy given by intravenous injection. Has drawings illustrating a peripheral IV, a Hickman line, an implanted port and how it is accessed, and a PICC line
• http://www.mccfl.edu/pages/2653.asp - Procedure: Central Line Dressing Change
• http://www.sjhlex.org/documents/Nursing/implanted_ports_mini_082607.pdf - Tips on Accessing, Assessing and Maintaining Implanted Ports with Non-Coring Huber needles
• http://doctors.shorehealth.org/nursing/iv/CV-ACCES-REMOV.pdf - Central Venous Access Removal Procedure
• http://www.uams.edu/nursingmanual/Procedures/procedure116.htm - PROCEDURE FOR REMOVAL OF NON-TUNNELED CENTRAL VENOUS CATHETERS, AND ARTERIAL LINES, EXCLUDING PERIPHERALLY INSERTED CENTRAL CATHETERS
• http://www.smh.com/sections/services-procedures/medlib/nursing/Procedures/Central_Lines/cen04_Removal_091907.pdf - Nursing Procedure: REMOVAL OF VENOUS CENTRAL LINE CATHETER

PICC lines:

• http://picclinenursing.com/picc_lines.html - PICC Line Nursing website
• http://www.rnceus.com/course_frame.asp?exam_id=17&directory=picc - PICC Line Care and Maintenance: An Introduction
• http://www.bardaccess.com/nurse-grosh-picc.php - image of a Bard groshong P.I.C.C.
• PICC Line Instruction Sheet.doc - example of a Grosong PICC line care instruction sheet

TPN (Total Parenteral Nutrition):

• http://healthlinks.washington.edu/nutrition/index.html#table - Resource Book for Delivering Enteral and Parenteral Nutrition for Adults
• http://www.merck.com/mmpe/sec01/ch003/ch003c.html - TPN: indications, nutritional content, solutions, monitoring and complications – includes a table of the Basic Adult Daily Requirements for Total Parenteral Nutrition
• http://www.sh.lsuhsc.edu/policies/policy_manuals_via_ms_word/Nursing/P-35.pdf - one hospital's nursing TPN policy.
• http://www.lhsc.on.ca/critcare/icu/protocols/tpn.pdf - sample pre-printed TPN order form. Note the nursing orders at the left side of the order page.
• http://www.guideline.gov/summary/summary.aspx?doc_id=8739&nbr=004851&string=Total+A ND+Parenteral+AND+Nutrition - Nutrition support in adults: oral nutrition support, enteral tube feeding and parenteral nutrition.

IV Flow Rate and Calculation Problems:

• http://www.m2hnursing.com/MedCal/index.php - Module 3 has IV flow rate tutorials and problems - you do not have to login to access the tutorial
• http://www.testandcalc.com/quiz/testiv.htm -- practice IV flow rate quiz and answers
• http://www.geocities.com/Heartland/Valley/3049/iv/clcltns.html
• http://classes.kumc.edu/general/IVPump/IVSimulation.html -- a cool interactive IV pump simulator!

Blood Transfusion:

• http://classes.kumc.edu/son/nurs420/unit8/blood_transfusion_guide.htm - Blood Transfusion Guide
• Chart of Commonly Transfused Blood Products.doc - Chart of Commonly Transfused Blood Products, what they consist of, why they are used, how they are administered and nursing considerations
• http://www.guideline.gov/summary/summary.aspx?doc_id=9850&nbr=005274&string=blood+A ND+transfusion - Blood Transfusion: Indications and Administration
• http://campbellteaching.co.uk/lesson%20notes/nursing/BLOOD%20TRANSFUSIONS.htm
• http://library.med.utah.edu/WebPath/TUTORIAL/BLDBANK/BLDBANK.html - tutorial on blood banking and blood transfusion. Includes discussion on compatibility, cross matching and transfusion reactions
• http://www.muw.edu/nursing/IV.htm - the last half of this document has information about the procedure of blood transfusion and transfusion reactions
• http://www.nhlbi.nih.gov/health/prof/blood/transfusion/transfin.htm - indications for the use of Red Blood Cells, Platelets and Fresh Frozen Plasma from the National Heart Lung and Blood Institute.
• http://rnweb.com/rnweb/article/articleDetail.jsp?id=310561 - Your guide to safe transfusions. From RNWeb. Includes a blood compatibility chart at the very bottom of the page.
• http://www.redcross.org/services/biomed/profess/pgbtscreen.pdf - Practice Guidelines for Blood Transfusion
• http://labtestsonline.org/lab/bloodbank.html - blood banking-scroll through the series of pages that explains what this is

IV Infusion Devices/Pumps

• http://www.rnweb.com/rnweb/article/articleDetail.jsp?id=254828 - " Technology today: Smart IV pumps". Includes photos of some of these pumps.

Table of Commonly Used IV Solutions

• Table of Commonly Used IV Solutions.doc - most commonly used IV solutions; includes tonicity, pH, the ingredients of the solutions, its uses and complications

IV Tips & Tricks:

• http://allnurses.com/forums/f18/iv-tips-tricks-3793.html - this thread over on the Emergency Nursing Forum has an immense amount of good information from experienced nurses on starting IV's