Intravenous Fluid Care Guidelines

Once a person develops a serious illness, doctors usually try to control it with medication. But if there is really no cure, then use intravenous injection treatment. However, infusion and injection therapy injects the drug into the blood more directly, which can play a very timely and effective role. But there are some things to keep in mind, so what are the guidelines for intravenous infusion care?

(1) Strictly implement the “three checks and seven comparisons” system to prevent errors.

(2) Strictly implement aseptic techniques to prevent complications. The infusion set and the drug solution should be absolutely sterile, and the infusion set should be replaced if continuous infusion exceeds 24 hours.

(3) Prevent air embolism. During infusion, the air inside must be exhausted to prevent the liquid from flowing out; replace the infusion bottle and add medicine in time, and remove the needle in time after the infusion.

(4) Pay attention to the infusion situation. Check whether the needle slips, whether there is local swelling, and whether there is any infusion reaction.

(5) Pay attention to drug incompatibility. Antibiotics should be prepared and used immediately. When penicillin G sodium (potassium) salt is used in combination with tetracycline or erythromycin, precipitation, turbidity, discoloration and reduced potency may occur. When tetracycline and vitamin C need to be added to the infusion at the same time, the tetracycline should be dissolved and diluted first, and then the vitamin C should be added.

(6) Pay attention to protecting blood vessels. For patients who receive long-term infusion, the following measures can be taken:

① The veins of the limbs start from the distal venules, alternating between the hands and feet.

② Master the three steps during puncture: choose the vein accurately; puncture steadily; and fix the needle firmly to improve the success rate of puncture.

③ If drugs with strong vascular irritation, such as erythromycin, are added to the infusion, they should be added after the puncture is successful and should be fully diluted. After the infusion, a certain amount of isotonic solution should be infused to protect the vein.

For patients who need to strictly control the drip rate, the use of infusion pumps is a major advancement in safe infusion. They can be divided into two major types: 1. portable or semi-portable. Suitable for families, children and chemotherapy patients, etc., syringes with pumps belong to this type. ②Fixed infusion pump. Currently, the third generation of computer-controlled catheter extrusion fixed-volume infusion pumps are mostly used. It has a multifunctional monitoring and surveillance system with a large size, suitable for hospitals, an infusion capacity range of 1-499ml/hour, and an automatic alarm device.

Indications for the use of infusion pumps: intravenous hypernutrition, infusion of chemotherapy drugs, antibiotics and drugs with special effects on cardiovascular system, etc., for intensive care patients, especially pediatric patients. If the above equipment is not available, a sterile needle can be inserted into the dropper to adjust the dripping rate.