By Molly Courtenay
The improved practices and new roles which nurses are presently venture are frequently in components within which a legitimate wisdom of the existence sciences is key. This e-book examines a few complex nursing talents, in each one case describing the learn facts upon which the approaches mentioned are established in addition to the sensible features of the strategies themselves. the information of the existence sciences that underpins those abilities is additionally provided in every one bankruptcy and is often sincerely associated with the complicated practices defined. even supposing aimed basically at put up registered nurses, nurses present process pre-registration nurse schooling will locate this publication useful as they themselves can be concerned to a constrained quantity within the practices defined.
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Additional info for Advanced Nursing Skills: Principles and Practice
1 Areas of responsibility of the nurse administering IV drug3· Ensuring the administration of the correct drug to the correct patient· Drug compatibility with infusate· Confirming patient electrolyte and drug levels if necessary· Reconstitution of the drug· Examination and assessment of the cannula site· Maintenance of asepsis when administering drugs· Flushing of cannula between drug doses· Monitoring rate of drug administration· Monitoring the patient· Accurate record-keeping Infusion Devices Gravity-Controlled Devices.
Additions should, therefore, be made before the infusion fluid being hung on the infusion stand. The fluid bag should be labelled clearly following the addition,2 and the patient and the infusion fluid monitored closely during administration. e. 50250 ml, during an interval of 20 minutes to 2 hours. An intermittent infusion may be given Page 29 as one specified dose or at a number of intervals over 24 hours. This type of infusion is administered when: · The drug pharmacology requires this dilution.
The vein is immobilized and counter tension provided. This enables the needle to move smoothly into the vein. To ensure that the cannula is inserted correctly it should be held by the flash chamber with the bevel of the needle in an upright position. 2 By placing the cannula in line with the vein, manipulation of the device under the skin is avoided and tissue damage and bleeding prevented. 2 After the cannula has been inserted, decreasing the cannula angle slightly should level the device, and the cannula can be slowly advanced to ensure entry into the lumen of the vein.