TUGAS KELOMPOK
PROSEDUCER INTRAVENOUS INJECTION
1. HUMAIRAH (PO7124321076
2. HENI WIDYASTUTI (PO7124321073)
3. NI GUSTI AYU RINAWATI (PO7124321072)
PROGRAM STUDI S.Tr Keb AJENG PARIMO
TAHUN 2021
INTRAVENOUS INJECTION
INTRAVENOUS INJECTION
Intravenous injection (IV) is the introduction of a small quantity of drug into the vein by
venous puncture
Introduction of drug directly into the bloodstream is called intravenous injection
Purpose
To have a fast action of the medicine as in emergency
To give medicines those are irritating or ineffective when given by other routes
To have the action of medicines on the blood stream or the blood vessels
Common Sites for IV Injection
Ventral aspect of elbow or forearm median cubical, basilica or cephalic veins
Doral aspect of hand – branchial, cephalic or metacarpal veins
In the infants the scalp vein is used
General Instructions
Expel the air from the syringe before giving the injection by holding it in upright position
and gently pressing the piston until a drop of solution comes to the tip of the needle
Always dissolve the drug in correct amount of fluid to minimize the risk of adverse
effect of the medicine
Observe the patient closely for the signs of adverse reaction of the medicine and
have emergency drugs and the antidote in hand while injecting the medicine
Do not give the medicine if the injection site shows any edema or intravenous
solution is not following properly to avoid accidental administration of medicine into
the surrounding tissues
When giving iron preparation always confirms that the patient is not sensitive to it by
giving a test done
Types of IV Administration
Adding the medicine in intravenous solution bottle (intravenous infusion)
Existing intravenous line for continuous infusion
Bolus: direct intravenous push for immediate or fast action
Selection of Syringe and Needle
The size of syringe used for intravenous infusion depends upon the amount of fluids
to be injected
Size of the needle used are 18 to 21 gauge or 1 to 2 inches
Preliminary Assessment
Check
The diagnosis and age of the patient
The purpose of injection
The doctors order for the type, dosage, time and route of administration
The patient’s name and bed number
The nurses record to find out the time at which the last dose was given
The symptoms of overdose or allergic reaction
The necessity for giving test dose
The form of the medicine available and correct method of administration
The level of consciousness of the patient
The site and previous experience of the patient
Equipment
A tray containing
Syringe and needles of various sizes according to the need in a covered tray (sterile)
Transfer forceps in a jar containing antiseptic solution
Sterile cotton swabs and gauze pieces in sterile containers
Methylated spirit in a container
Bowl with water
Tourniquet
Water for injection
Drug order sheet
File to cut open the ampoules
Small covered tray (sterile)
Preparation of the Patient and Environment
Identify the patient correctly
Explain the procedure to the patient
Provide privacy
Place the patient in comfortable and relaxed position suitable of intravenous
injection
Select a site suitable for the route of administration, quantity of medication to be
given and characteristics of medication
Procedure
Read the doctors order and select the medication
Wash hands
Select appropriate syringe and needle and check whether they are in good working
order
Recheck the order, medicine card with the label of the medicine, expiry date, etc
Mix well and take out the required amount of solution in the syringe
Carry medicine to the patient
Method of Administering IV Infection
Apply a tourniquet on the upper arm
Ask the patient to clench and unclench the hand
Pull the skin taut and place the needle in line with vein at a 15 to 45 degree angle
Insert the needle, a bit below the point where the needle will pierce the vein
When the back flow of blood occurs into the syringe release the tourniquet and
injects the medicine very slowly
Pressure with swab at the puncture site after the needle is withdrawn to prevent
bleeding
After Care
Observe the area for bleeding if bleeding occurs apply pressure but do not massage
Give comfortable position to the patient
Ask the patient to take rest at least 15 to 30 minutes so that you can observe him for
any reaction
Observe the patient for any allergic reaction
Replace the equipment used for injection
Clean all other articles and replace them in their proper place
Wash hands
Record the procedure on the nurse record sheet and medication sheet
Complications
Allergic reactions
Pain
Injection abscess
Injury to nerves
Air embolism
