Unit 8 Intravenous Devices

Front 1

Types of IV Devices

Back 1

Peripheral IV Catheter
Central Venous Catheter
Arterial Line
Chemotherapy ports

Front 2

Peripheral IV Catheter

Back 2

Deliver Medications, fluid therapy, nutrition.
Frequent blood sampling.
This is the only type of IV a nuclear medicine tech can start

Front 3

Central Venous Catheter

Back 3

A sterile tube inserted into the central circulation
- Allows monitoring of CV pressure
- Frequent blood sampling
- Administration of fluids
- Used when access of peripheral vein is difficult
- Used for prolonged IV therapy
- Insertion Point: subclavian or jugular vein
End point: Superior vena cava or right atrium

Front 4

Types of Central Venous Catheters

Back 4

- Single lumen and multi lumen catheters
- Groshong catheter
- Hckman catheter
- Broviac catheter
- Hickman/Broviac catheter
-Peripherally inserted central Catheter (PICC)

Front 5

Arterial "A" Line

Back 5

Catheter inserted into an artery
Allows real time blood pressure measurement
Allows constant monitoring of arterial blood gases
Common insertion sites: wrist (radial artery) elbow ( brachial artery) groin (femoral artery) neck ( carotid artery)
- Not commonly used for fluid therapy.

Front 6

Chemotherapy Ports

Back 6

A device implanted under the skin, usually the chest.
-Consists of a catheter connected into a central vein, plus a silicone bubble for administrating medications.
- Portacath, Mediport
- Generic Name: totally implantable venous access device (TIVAS)
- A version of central venous device
- May one be accessed by a nurse.

Front 7

Types of Central Venous Catheters

Back 7

- Single lumen and multi lumen catheters
- Groshong catheter
- Hickman catheter
- Broviac catheter
Hickman/Broviac catheter
Peripherally inserted central catheter (PICC) = usually a Ray vein

Front 8

Arterial "A" Line

Back 8

Catheter inserted into an artery
- Allows real time blood pressure
- Allows constant monitoring of arterial blood gases
- Common insertion sites wrist ( radial artery) elbow ( brachial artery) groin ( femoral artery) neck ( carotid artery)
Not used for fluid therapy
You will not inject into a A line

Front 9

Chemotherapy Ports

Back 9

A device implanted under the skin, usually in the chest.
- Consists of a catheter connected into a central vein, plus a silicone bubble for administering medications
- Common names: Portacath, Mediport
Generic Name: totally implantable venous access device (TIVAS)
- A version of central venous device
- May only be accessed by a nurse.
- If line is accessed, you may inject radioisotope, only if line is accessed.

Front 10

Starting an IV

Back 10

Same venipuncture technique used for injection, then:
-Once flashback occurs, untie tourniquet.
- Anchor vein with non-dominant hand and push catheter forward into vein with dominant hand.
- Have connections device ready
- Remove needle and connect device to catheter

Front 11

Complication in IV devices

Back 11

Infection
- Use aseptic technique whenever you touch an IV
- Gloves on!
- Wipe end of the adaptor with alcohol to air dry.

Front 12

Thrombosis

Back 12

Clot
Flush with saline, check before injecting
Leakage
Only in peripheral IV's check all connectors before injecting radiopharmaceutical

Front 13

Complications in IV devices

Back 13

Extravasation or infiltration
- IV fluid enters tissue instead of vein
- Redness, swelling, irritation in area around vein
- Wheal or raised area when IV is flushed
- Patient complains of burning sensation when IV is flushed
-** Do not use this IV