Introduction...........................................................................................................1

Advantages of Intravenous Therapy .........................................................................................3

The Five Rights of Medication Administration ........................................................................4

Aseptic Technique ........................................................................................................................5

Reducing Risks of Infection ........................................................................................................7

Anaphylactic Shock ......................................................................................................................8

Emergency Care for Anaphylaxis ............................................................................................10

Antidotes for Reactions to Medications ..................................................................................11

Emergency Equipment ..............................................................................................................12

Complications of IV Therapy ....................................................................................................13

Symptoms of Fluid Deficit and Fluid Excess ..........................................................................17

Fluid Assessment ........................................................................................................................17

Preventing Complications of IV Therapy ...............................................................................18

Fluids ..........................................................................................................................................19

Method for Estimating Osmolarity ..........................................................................................21

Selecting Equipment ..................................................................................................................25

Rates of Administration .............................................................................................................27

Calculating Flow Rates ..............................................................................................................28

Needle Sizes ...............................................................................................................................29

Intramuscular Injections ............................................................................................................30

Pre Treatment Assessment ........................................................................................................31

The Physician’s Order ................................................................................................................33

Patient Teaching .........................................................................................................................34

Selecting A Site ............................................................................................................................35

Applying The Tourniquet .........................................................................................................40

Methods of Venous Distension .................................................................................................41

Caring For Patient Comfort .......................................................................................................42

Preparing the Solution ...............................................................................................................43

Steps in Preparing For Venipuncture ......................................................................................45

Documentation ............................................................................................................................46

Some Indications For Basic Vitamin Therapy ........................................................................48

Osmolarity Chart For A Sample Chelation Treatment .........................................................49

Protocol Ideas ..............................................................................................................................51

Vitamins .....................................................................................................................................52

Vitamin B2 Riboflavin PH 5.0 to 6.0..........................................................................................54

Vitamin B3 Niacin/Niacinamide ................................................................................................56

Vitamin B5 Pantothenic Acid ....................................................................................................58

Vitamin B6 Pyridoxine PH 2.0 to 3.8.........................................................................................60

Vitamin B12 ..............................................................................................................................62

Vitamin C Ascorbic Acid Ph 5.5 to 7.0 ......................................................................................63

Folic Acid PH 8.0 to 11.0 ..........................................................................................................65

Caleion Gluconate Ph 6.0 to 8.2 ..............................................................................................66

Magnesium Sulfate PH 5.5 to 7.0 .............................................................................................67

Panidromate (Aredia) Patient Information ................................................................................71

Panidromate (Aredia) Información para el Paciente .................................................................72

Permission for Intravenous Aredia Therapy .............................................................................73

Home Care Infusion Therapy Policy and Procedure .................................................................75

Home IV Therapy Policy and Procedure ..................................................................................76

Initiation, Medication, Administration, Monitoring and Discontinuation of IV Therapy ...............81

Infusion Therapy Policy and Procedure .................. .................................................................82

IV Competency Skills Policy and Procedure .............................................................................83

IV Competency Skills ............................................. .................................................................84

Anaphylaxis Protocol Policy and Procedure .............................................................................86

Medication Administration ........................................................................................................87

Procedure Flushing at Hickman Catheter ................................................................................89

Procedure Heparinization with Cap Change Line .....................................................................90

Procedure Hickman Catheter dressing change ........................................................................91

Triple Lumen CVP Catheters Procedures ................................................................................92

Groshong Catheter Procedures .............. ................................................................................93

Needle Safety and prevention of injury ... ................................................................................94