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• About the Authors
• Table of Contents
• Introduction
• About This Book
• Conventions Used in This Book
• What You’re Not to Read
• Foolish Assumptions
• How This Book Is Organized
• Icons Used in This Book
• Where to Go from Here
• Part I: Tapping Into IV Therapy
• Chapter 1: Introducing IV Therapy: A Purpose-Driven Practice
• What’s the Point? The Purpose of IV Therapy
• The Main Ways to Administer IV Therapy
• Understanding the Important Role You Play in IV Therapy
• Familiarizing Yourself with Standards of Care
• Chapter 2: Keeping within the Letter of the Law
• Understanding the Legal Standard of Care
• Making Sense of Federal and State Regulations
• Maintaining Professional Standards
• When Bad Things Happen to Good People: Comprehending Malpractice
• Understanding Common Areas of Malpractice and Negligence
• Reducing Your Risk with Risk-Management Strategies
• Chapter 3: Tools of the Trade
• Vascular Access Devices
• Solution Containers
• Administration Sets
• Flow-Control Devices
• More to Think About When Choosing IV Equipment
• Part II: What’s Your Type? Components of IV Therapy
• Chapter 4: Medications Made to Order: Pharmacological IV Therapy
• Understanding How Pharmacological IV Therapy Works
• Understanding Adverse Effects
• Identifying Drug Incompatibilities
• Reconstituting IV Therapy Medications
• Familiarizing Yourself with Common Classes of Pharmacological Agents
• Chapter 5: Beefing Up on Blood Component Therapy Basics
• Defining Blood Component Therapy
• Breaking Down Blood Composition
• Finding a Match: Compatibility Is Key
• Types of Blood Component Therapies
• Chapter 6: Chemotherapy 101
• Getting with the Program: The Principles of Chemotherapy
• Determining the Goals of Treatment
• It’s Classified: Classifying Chemotherapy Drugs
• Chapter 7: Maintaining Equilibrium with Fluids and Electrolytes
• Getting Your Fill: Introducing Fluids and Electrolytes
• On the Move: Following Fluids between Compartments
• Assessing Your Patient’s Fluid Requirements
• Restoring Volume with Crystalloids and Colloids
• Correcting Fluid and Electrolyte Imbalances
• Acid-Base Balance Made Easy
• Chapter 8: Serving Up Parenteral Nutrition
• From Soup to Nuts: Reviewing Parenteral Nutrition Basics
• Creating a Balanced PN Recipe for Success
• Part III: Getting Down to IV Therapy Business
• Chapter 9: Documenting Diligently: The Backbone of Infusion Therapy
• Seeing Why Accurate Documentation Matters
• Making Your Documentation Rise above the Rest
• Putting It into Practice: Documenting IV Therapy
• Chapter 10: Calculation Central: Figuring Drug Dosages, Drips, and Flow Rates
• Calculating Correct Drug Dosages
• Going with the Flow: Calculating Drip Rates, Flow Rates, and Infusion Times
• Chapter 11: Gravity, Pumps, and Syringes: The Many Ways to Deliver IV Therapy
• Flowing with an Invisible Force: Gravity-Fed Infusions
• Optimizing Therapy with IV Pumps
• Giving Infusions a Little IV Push
• Going Automatic with Auto-Syringe Pumps
• Empowering Patients with PCA Pumps
• Chapter 12: Going for the Hand or Arm: Peripheral IV Essentials
• Getting Started with a Few Peripheral IV Basics
• Performing an Initial Vascular Access Assessment
• Gathering Your Equipment: Selecting the Appropriate Peripheral VAD
• Determining the Best Peripheral IV Site
• Beginning the Insertion Process
• Monitoring the Infusion
• Replacing Peripherals at Regular Intervals
• Discontinuing the Peripheral Line
• Chapter 13: The ABCs of the CVAD
• Starting from Scratch: CVAD Basics
• First Things First: What to Do Before Using the CVAD
• Gathering the Supplies You Need to Infuse through a CVAD
• Preparing the Line and Starting the Infusion
• Monitoring the Line
• Maintaining CVADs
• Drawing Blood through the CVAD
• Discontinuing and Removing the CVAD
• Using an Implanted Port Instead
• Part IV: Administering IV Therapy
• Chapter 14: Practical Pharmacological IV Administration
• Assessing Your Pharma Patient
• Initiating Pharmacological IV Treatment
• Recognizing and Managing Adverse Drug Events (ADEs)
• Discontinuing IV Medications
• Staying Safe: Disposing of Pharmacological Agents
• Chapter 15: Transfusing Blood Components
• Preparing for a Blood Transfusion
• Initiating Treatment
• Recognizing and Managing Adverse Reactions
• Discontinuing the Transfusion
• Safely Handling and Disposing of All Blood Products
• Chapter 16: Infusing Chemotherapy with Caution
• Preparing for Chemotherapy
• Administering Chemotherapy
• Reacting to Adverse Reactions
• Managing Common Side Effects
• Discontinuing Chemotherapy
• Safely Disposing of Chemotherapy Waste
• Chapter 17: A Balancing Act: Administering Fluids and Electrolytes
• Focusing on Fluids and Electrolytes As You Assess Your Patient
• Administering IV Replacement Therapy
• Recognizing and Managing Adverse Reactions
• Discontinuing the Replacement Infusion
• Chapter 18: Making Every Calorie Count: Parenteral Nutrition
• Planning around Your Patient’s Baseline Nutritional Status
• Administering Parenteral Nutrition Products through a CVAD
• Managing Common PN Complications
• Discontinuing Parenteral Therapy
• Disposing of Parenteral Nutrition Products
• Part V: Considering Unique Populations
• Chapter 19: A Little Dab’ll Do Ya: IV Therapy for Infants and Children
• Understanding How Pediatric IV Therapy Is Different
• From Preemies to Teens: Dosing for Peds
• Peds-Specific Peripheral IV Considerations
• CVAD IV Therapy for Kids
• Chapter 20: When Aging Is an Issue: IV Therapy for the Elderly
• Understanding How Advanced Age Impacts IV Therapy
• Optimizing Therapy for the Older Adult
• Gentleness Is Key: Following Some Basic Insertion Guidelines
• Monitoring the Infusion to Prevent Complications
• Replacing and Discontinuing Peripheral IVs
• Chapter 21: There’s No Place Like Home: IV Therapy for the Homebound Patient
• Ensuring Safety: Assessing the Home Environment
• Optimizing IV Therapy for a Homebound Patient
• Getting Comfortable with Home Infusion Equipment
• Managing Your Home Patient’s Therapy
• Teaching Your Patients (And Their Families) How to Care for Themselves
• Part VI: The Part of Tens
• Chapter 22: Ten Things You Need to Know in IV Therapy
• Start Your Site Search Distally
• Avoid Starting IVs in Areas of Joint Flexion
• Use Your Sense of Touch to Find a Vein
• Avoid Inserting IVs into Vein Valves
• Clip Excess Hair That Interferes with the IV Area
• Choose the Right Gauge Based on the Patient’s Situation
• Rely on a Blood Flashback
• Follow the Two Strikes, You’re Out! Rule
• Never Push or Pull against Resistance
• Don’t Rely on an Alarm to Alert You
• Chapter 23: Ten Tricks of the Trade for Starting IVs
• Turn Up the Heat
• Pump Up the Volume
• Make Gravity Your Best Friend
• Don’t Slap the Vein Silly, but Do Gently Tap It
• Use an Alcohol Pad to Help with Visualization
• Get Cozy with Your VAD
• Use an Anesthetic
• Anchors Away! Provide Vein Stability
• Consider Using an Indirect Insertion
• Never Let ’Em See You Sweat
• Index