Download Advanced Nursing Skills: Principles and Practice by Molly Courtenay PDF

By Molly Courtenay

The multiplied practices and new roles which nurses are at present venture are usually in components within which a legitimate wisdom of the lifestyles sciences is vital. This e-book examines a few complex nursing abilities, in every one case describing the learn proof upon which the techniques mentioned are dependent in addition to the sensible facets of the techniques themselves. the data of the lifestyles sciences that underpins those talents is usually provided in each one bankruptcy and is often basically associated with the complex practices defined. even though aimed essentially at publish registered nurses, nurses present process pre-registration nurse schooling will locate this publication precious as they themselves might be concerned to a constrained volume within the practices defined.

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The injection of packaging debris including rubber and glass that are drawn up with the drug. This has been linked with lesions in the lungs, kidney, spleen, liver and brain. The use of small-gauge needles for aspiration, filter needles and in-line filters helps prevent it. The Problems Associated with Intravenous Therapy IV fluids and drugs may be administered either centrally or peripherally. Peripheral lines carry less risk than central lines. The problems associated with peripheral cannulae include:4 · Infiltration · Extravasation · Phlebitis · Haematoma The problems associated with central lines are predominantly associated with the cannulation process or management of the IV therapy and include: · Air embolism · Pneumothorax · Haemorrhage Page 32 · Local nerve injury · Arterial puncture · Thromboembolism · Infection (local or systemic) · Tamponade · Dyssrhythmias · Catheter embolism3 Problems such as drug toxicity, fluid overload, anaphylaxis and speed shock are complications that can be common to both the peripheral and central routes of access.

This is followed by an examination of the IV cannulation procedure, including the preparation of the patient, selection of cannula and health and safety issues. Selection of Veins for Intravenous Cannulation The factors that influence the choice of vein for IV cannulation, the characteristics of a good vein on which to perform this technique and patients likely to experience problems when undergoing this procedure are the same as in venepuncture and as described in Chapter 1. 4). Experienced practitioners should only use ankle and foot veins if there are no other suitable veins.

Hedick, C. Intravenous Therapy: Clinical Principles and Practice. B. Saunders. 4. J. Line associated bacteraemias. Communicable Disease Report 1993; 3(7): R9196 Page 23 5. H. Infections and intravascular devices. British Journal of Hospital Medicine 1992; 48(8): 496503 6. , Borzotta, A. P. Nosocomial blood borne infection secondary to intravascular devices. American Journal of Surgery 1994; 167(2): 268272. 7. , Beach, M. Consequences of intravascular catheter sepsis. Clinical Infectious Diseases 1993; 16(6): 778784.

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