20 iv cannulation

IV CANNULATION

PRESENTED BY:NAJAH AL-JOHANI

WHAT IS CANNULA?• A cannula is a flexible tube that can be inserted into

the body. For medical use, there are 11 different types of cannula. The most commonly used are the intravenous and the nasal cannula.

TYPES OF CANNULA • Iv cannula pen-like model.• Iv cannula with wings model.• Iv cannula with injection part model.• Iv cannula y-type model.

Pen-like model

With wings model

With injection part model

Y-type model

LENGTH OF CANNULA

INDICATION OF CANNULATION • Repeated blood sampling• Intravenous fluid administration• Intravenous medications administration• Intravenous chemotherapy administration• Intravenous nutritional support• Intravenous blood or blood products administration• Intravenous administration of radiological contrast

agents for computed tomography, magnetic resonance imaging, or nuclear imaging

PROCEDURE • Introduce your self to patient.• Explain the procedure.• Approach with a confident, calm, caring attitude

• Collect your equipment.

• wash hand.

• Selecting a vein

Veins of the Forearm 1. Cephalic vein2. Median Cubital vein3. Accessory Cephalic vein4. Basilic vein5. Cephalic vein6. Median antebrachial vein

CONT..

Veins of the Hand1. Digital Dorsal veins2. Dorsal Metacarpal veins3. Dorsal venous network4. Cephalic vein5. Basilic vein

THE SITES SHOULD BE AVOIDED1. Wrist2. Legs, feet, ankles3. Veins below a previous IV infiltration4. Vein below a phlebitic area5. Sclerosed or thrombosed veins6. Areas of skin inflammation7. An arm affected by a radial mastectomy,

edema, blood clot, or infection.8. An arm with an arteriovenous shunt of fistula

• Apply tourniquet. • Clean area with alcohol s

• Remove needle cover

• Insert the needle bevel up ward at about 30ᶜ̊ & advance the rest of cannula into the vien

• Release the tourniquet & apply pressure at the tip of cannula & remove the needle .

• Apply the plaster to fix it on the place

COMPLICATION OF CANNULATION

1-local complication: -Infiltration.-Extravasation.-Thrombosis.-Cellulitis.-Phlebitis.

2-systmic complication: -Embolism. *pulmonary embolism *air embolism *catheter embolism.

-Hematoma.-Systemic infection.-Speed shock.-Circulatory overload.-Allergic reaction.

Local complication 1- Infiltration:

Local complication2-Extravasation:

Local complication3-Thrombosis:Occurs when blood flow through a vein is obstructed by a local thrombus

Local complication4-Cellulities:

Local complication5-Phlibitis:

WHAT ARE IV FLUIDS?-Solutions administered through an IV-Helps maintain:Blood pressureHydration Electrolyte balance

TYPES OF IV FLUID1-NS 0.9%2-NS 0.45%3-NS 0.225%4-RL5-D5%6-D10%7-D5%NS0.9%8-D5%NS0.45%9-D5%NS0.225%