This is for informational purposes only. You can kill someone if you don't know what you're doing. If you properly give
someone an IV and save their life they will probably still sue you since if you are not credentialed to do this procedure
your practicing medicine without a license. If you are a medic or nurse and use these items when not at work you are most
likely in violation of local, state and federal laws since items like angios and .9% NACL (salt water) are controlled substances.
Thank the gov and it's unConstitutional and failed war on certain drugs for this.
To the trained patriot medic being able to start an IV is a valuable
skill. It can be used to replace fluid from dehydration, blood loss and burns. Be a route for drug administration or raise
the sugar level of your hypoglycemic patient.
bruising, cellulitis, infiltration, extravasation,
phlebitis, sepsis, pulmonary thromboembolism, air embolism, and catheter-fragment embolism
It's up to the reader to become framiliar with these and the symptoms
including recognizing a pyrogenic reaction which if it happens you need to discontinue the IV. Catheter sheer can come from
moving the teflon catheter back and forth over the needle till a piece breaks off and goes into the vein. And as I was told
in class it shows up very well during an autopsy. Also if you infuse too much fluid too quickly it may back up into their
lungs. If it's winter time cold IV fluid will kill your patient.
You want a vein that is straight and not branching off unless it is
below your site. The branching will help anchor the vein then. Do not try an IV in the wrist and if you put one in the hand
you might need to stabalize the limb to keep the IV from being pulled out. The back of the hand, jugular vein and leg veins
are alternate sites although the last two are not as easy, safe or common. If your gonna do a jugular stick you better know
what your doing.
From left to right. Constricting band, IV fluid, drip set, veniguard,
betadine, 4X4, alcohol wipes, angios. You'll also need antibiotic cream if you don't have a veniguard and medical tape
Decide what fluid you want. The patriot will usually only have one
of the following since most outside hospitals includng EMT's don't have access to blood or synthetics. .9% NACL (normal saline),
D10 (10% dextrose in water), D5 (5% dextrose in water, used mainly for delivering meds) and lactated ringers. Most of the
time the patriot medic will want .9% NACL or lactated ringers. If you try and replace fluid with D10 you will be giving them
a bunch of sugar which you don't want to do unless their problem is low blood sugar.
When you open your protective wrapper check the following:
fluid - unless your treating hypoglycemia you want ringers or NACL
right date - make sure it is not expired although people
have used it
no floaties - you don't want to inject fluid with green slime in it.
There are several choices for drip sets. Your gonna want a 10/12/15/20gtt
or macro set most of the time. The 60gtt or micro set is used for a more precise drip rate for med administration or children.
If all you have is a 60gtt it will still work for adults. Most of the time you will usually run your IV wide open or KVO.
If you have an IV established without fluid going into the vein the catheter will clot and the patient will have to be stuck
To calculate drip rates use this formula