Managing Pitfalls in IV therapy
Ibnu sofa S.kep Ners
National Cardiovascular Center Harapan Kita
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,Objective
Know the reason for something we did
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, Overview
✓In modern medical practice, up to 80% of hospitalised patients receive intravenous therapy at some point du
their admission. (Postgrad Med J 2018)
✓In a study of almost 1000 patients in general medical beds, ‘‘idle’’ intravenous cannulae (a cannula not used f
hours or with no prophylactic indication) were identified in 33% of patients
✓A French study also found that 28% of peripheral cannulae inserted in an emergency department were
‘‘unjustified’’,7 and a smaller audit in our acute medical unit found the rate of apparently unused cannulae to b
almost 50% (C Waitt, unpublished data)
✓The estimated annual use is about 200 million catheters in the United States of America (USA). In Spain,
approximately half of hospitalized patients receive an intravenous catheter, being 95% of them peripheral.
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, ✓In spite of this extended use, the use of peripheral venous catheters can lead to complications such
phlebitis, obstruction, seepage, leakage and accidental removal, resulting in increased hospitalization
treatment costs, and patient discomfort.
✓Understanding the risk factors for developing complications can facilitate the task of daily care of th
nursing team, and may help to produce knowledge and scientific evidence to support the decision ma
the nurses geared towards minimizing the risk of intravenous therapy
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