MindMap Gallery Intravenous infusion
Basics of Nursing – Intravenous Infusion. Common infusion reactions include: 1. Fever reaction: fever, chills, nausea and vomiting🤮, headache 2. Circulatory overload: chest tightness, cough, 👿cough pink foamy sputum 3. Phlebitis: red line along the vein at the infusion site, redness, swelling, heat and pain, chills 4. Air embolism: chest abnormalities, dyspnea and severe cyanosis, feeling of dying, and blistering sounds in the precordium
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
1. Intravenous infusion
Commonly used solutions
crystal solution
1. Glucose solution 5%/10%
2. Isotonic electrolyte solution: 0.9% sodium chloride, compound sodium chloride (Ringer), 5% glucose sodium chloride
3. Hypertonic solution 20% mannitol, 25% sorbitol, 25%-50% glucose
4. Alkaline solution: 5%/1.4% sodium bicarbonate, 11.2%/1.84% sodium lactate solution
Colloidal solution
1.Dextran
1. Low molecular weight: Reduce blood viscosity, improve blood circulation, and prevent thrombosis.
2. Medium molecule: Increase plasma colloid osmotic pressure and expand blood volume
2. Plasma substitute: hydroxyethyl starch (706) oxidized polygelatin, oxidized polygelatin
3. Blood products: increase plasma colloid osmotic pressure and increase circulating blood volume. 5% albumin, plasma protein
Intravenous high nutritional solution: maintain the body's positive nitrogen balance: compound amino acids, fat emulsion
Intravenous infusion
Tourniquet position: 6 to 8cm above the puncture point (the indwelling needle is at 10cm)
Acupuncture site: Jugular vein: 1/3 above the line connecting the midpoint of the mandibular angle and the upper edge of the clavicle
Disinfection range diameter: ≥5cm (retaining needle ≥8cm)
Liquid dripping speed: 40~60 for adults Children 20~40
Acupuncture angle: 15~30° 5°(intradermal injection) 30~40°(subcutaneous injection) Enter the external jugular vein at 45° and then puncture at 25°
Common infusion failures and solutions
1. The solution does not drip
1. The needle comes out of the blood vessel: go under the skin and re-pierce it
2. Sticking to the blood vessel wall/twisting the infusion tube: no swelling, pain, and blood return Change location
3. Needle clogged: Replace needle, alternatively choose venous ligation
4. The pressure is too low: lower the hand/raise the liquid
5. Venospasm: Heat
2. The liquid level in the dropper (small gourd) is too high
1. There is an adjustment hole on the side wall of the dropper: clamp the upper end of the infusion tube and open the hole
2. No adjustment hole: remove the infusion bottle, tilt it, expose the needle, and let the air enter a little
3. The liquid level in the dropper is too low
1. There is a hole: clamp the lower end, open the hole, and close it when it rises to 1/2-2/3
2. No holes: Clamp the infusion tube at the lower end of the dropper, squeeze the bottle by hand, and stop when it reaches 1/2-2/3.
4. The liquid level of the dropper drops on its own: the connection between the infusion tube at the upper end of the dropper and the dropper may not be tight.
Common infusion reactions
Reaction 1. Fever reaction: fever, chills, nausea and vomiting🤮, headache 2. Circulatory overload: chest tightness, cough, 👿cough pink foamy sputum 3. Phlebitis: red line along the vein at the infusion site, redness, swelling, heat and pain, chills 4. Air embolism: chest abnormalities, dyspnea and severe cyanosis, feeling of dying, and blistering sounds in the precordium
Position: 2. Circulation: The patient is sitting upright. Legs drooping 4. Left side with head down and feet high
Hyperoxygen inhalation: 2 cycles/4 air embolism
Note 2. Circulating load:, oxygen inhalation: 6~8L/min , 20%~30% ethanol humidification🍎 (can reduce foam surface tension) Use with caution 200~300ml of venous bloodletting 3. Phlebitis: Elevate the limb and apply local wet compress with 95% ethanol or 50% magnesium sulfate/ultrashort wave physiotherapy