Intravenous drip technique. Technique for filling the system for intravenous drip infusions

Equipment: disposable drip system, dropper stand, oilcloth pad, adhesive plaster, tourniquet, drug vials , 2 sterile trays (sterile tray and sterile napkin), sterile tweezers, non-sterile tweezers (scissors), sterile cotton balls (5 pcs), skin antiseptic (70% ethyl alcohol), gloves, disinfectant.

Preparation for the procedure

1. Explain to the patient the purpose and course of the manipulation, clarify awareness.

2. Explain to the patient the need to visit the toilet before setting up the dropper.

4. Check the name, expiration date of the medicinal product, the tightness of the packaging bag of the system and its expiration date.

5. Using non-sterile tweezers, open the central part of the metal cap of the drug vial and treat the rubber stopper of the vial with a cotton ball soaked in ethyl alcohol.

6. Open the package of the system, close the clamp on the system, remove the system (all actions are performed on the desktop):

insert the receiving needle of the drip system into the vial with the drug;

turn the bottle upside down, hang on a tripod;

open the air duct on the drip system, fill the dropper halfway with the drug;

open the clamp and fill the drip system;

close clamp on drip system

7. Check for air bubbles in the long tube of the system (system is full).

8. Put in a sterile tray or in a packaging bag an injection needle closed with a cap, cotton balls (napkins) with a skin antiseptic, a sterile napkin.

9. Prepare two strips of a narrow (1 cm) adhesive plaster 4-5 cm long.

Performing a procedure

Help the patient to get into a comfortable position.

Place an oilcloth pillow under the elbow, apply a tourniquet to the middle third of the shoulder.

Put on gloves.

Treat the area of ​​the elbow bend sequentially with 2 cotton balls (napkins) with a skin antiseptic; the patient at the same time clenching and unclenching his fist.

Fix the vein by stretching the skin of the elbow.

Insert the syringe needle into the vein with a cut upwards at an angle of 10-15 °, then parallel to the vein (the patient's hand is clenched into a fist) for 1/3 of the length.

When blood appears from the cannula, remove the tourniquet.

Open the clamp and attach the system to the needle.

Adjust the rate of drops with a screw clamp (20-40-60 drops per 1 minute, depending on the drug and the doctor's prescription).

Secure the needle with adhesive tape and cover with a sterile napkin.

Attach the system to the forearm.

Remove gloves, wash hands.

Monitor the condition and well-being of the patient throughout the procedure.

End of procedure

23. Put on gloves.

24. Close the screw clamp.

25. Remove the needle from the vein by pressing the injection site with a cotton ball moistened with ethyl alcohol for 5-7 minutes (do not leave cotton wool on the patient!).

26. Make sure the bleeding has stopped.

27. Disinfect the system, needle, trays, used material, gloves.

28. Wash hands, dry.

29. Make an entry in the appointment sheet about the manipulation performed.

Algorithm for performing intravenous injection

Equipment: disposable syringe 5-10 ml, oilcloth pad, tourniquet, medicine , 2 sterile trays (sterile tray and sterile napkin), sterile tweezers, sterile cotton balls (5 pcs), skin antiseptic (70% ethyl alcohol), gloves, disinfectant.

Preparation for the procedure

1. Explain to the patient the purpose and course of the manipulation, clarify awareness.

2. Check the name of the drug, dose, concentration, expiration date.

3. Wash hands, dry, treat with skin antiseptic.

4. Check the integrity of the packaging on the disposable syringe, the expiration date of the syringe.

5. File the narrowed part of the ampoule, treat with a cotton ball moistened with 70% ethyl alcohol, break off the narrowed part of the ampoule.

6. Open the package, assemble a disposable syringe, draw medicine into the syringe, change the needle on the syringe, release air into the cap, put the syringe in the tray, cover with the second tray (napkin) on top.

Performing a procedure

7. Help the patient to take a comfortable position.

8. Place an oilcloth pillow under the elbow, apply a tourniquet to the middle third of the shoulder.

9. Put on gloves.

10. Treat the area of ​​the elbow in succession with 2 cotton balls (napkins) with a skin antiseptic; the patient at the same time clenching and unclenching his fist.

11. Fix the vein by stretching the skin of the elbow.

12. Insert the syringe needle into the vein with a cut upwards at an angle of 10-15 °, then parallel to the vein (the patient's hand is clenched into a fist) for 1/3 of the length.

13. Make sure that the needle is in the vein: pull the plunger towards you - blood should appear in the syringe.

14. Untie the tourniquet with your left hand, pulling one of the free ends, ask the patient to open his fist.

15. Without changing the position of the syringe, press the plunger with your left hand and slowly inject the drug, leaving 0.5 ml in the syringe.

End of procedure

16. Remove the needle from the vein by pressing the injection site with a cotton ball moistened with ethyl alcohol for 5-7 minutes (do not leave cotton wool on the patient!), make sure that the bleeding has stopped.

17. Disinfect the system, needle, trays, used material, gloves.

18. Wash hands, dry.

19.Make an entry in the appointment sheet about the performed manipulation.

Intravenous infusions are used to introduce a volume of transfusion agents into the patient's body. They are performed to restore the volume of circulating blood, detoxify the body, normalize metabolic processes in the body, to maintain the vital activity of the body.

Technique for filling the system for intravenous drip infusions.

Hands are washed thoroughly with warm water, treated with alcohol.

- The tightness of the packaging bag and the expiration date of the system are checked.

The metal cap is removed from the bottle cap, pre-treated with a cotton ball, moistened with 70% alcohol; processed rubber stopper: alcohol-iodine-alcohol.

The packaging bag is opened and the system is removed (all actions are performed on the desktop).

Remove the cap from the “air” needle and pierce the cork, insert the needle all the way into the cork of the vial,the free end of the air duct must be fixed on the bottle (this can be done with a rubber band), the bottle is turned over and fixed on a stand for intravenous drip infusion.

After closing the screw clamp, remove the cap from the needle at the short end of the system, and insert this needle all the way into the stopper of the vial.

Through a short needle, fluid enters the system; air enters the bottle through the "air".

To fill the system with a solution and expel air from it, the end of the tube with the cannula must be held above the inverted dropper.

The dropper is filled to 1/2 of the volume (the filter must be completely immersed in the infusion liquid), turned it over into its working position and slowly fill the lower section of the system until the solution flows out of the cannula. Make sure there are no air bubbles in the system.

Intravenous drip infusion.

- The area of ​​the elbow bend is treated sequentially with two cotton balls (napkins) with a skin antiseptic; the patient at the same time compresses and unclenches the brush.

The vein is fixed by stretching the skin of the elbow.

Remove the cap from the needle and puncture the vein as usual (the patient's hand is clenched into a fist), cover the cannula of the needle with a sterile ball.

When blood appears from the cannula of the needle, the tourniquet is removed.

Attach the system to the needle cannula, open the clamp.

Adjust the screw clamp the rate of droplets according to

doctor's prescription.

Observe for several minutes, there will be no swelling around the vein and soreness. If everything is done correctly, the needle is carefully fixed to the skin with adhesive tape and covered with a sterile napkin.

Remove gloves, wash hands.

Observe the condition and well-being of the patient throughout the drip infusion procedure.

At the end of the procedureput on gloves, close the screw clamp, remove the needle from the vein by pressing the injection site with a ball (napkin) with alcoholfor 5-7 minutes (do not leave cotton wool with the patient!); you can fix the ball with a bandage.Make sure the bleeding has stopped! Remove gloves, wash your hands.

If you need to sequentially entermedicinal solutions from several vials, act as follows: when a small amount remains in the first vial the amount of solution, quickly remove the air duct from it and introduce it into stopper of the second vial, previously mounted on a tripod. Also change quickly and a vial needle on the short part of the system.

If it is necessary to carry out frequent and prolonged intravenous drip infusions, the method of vein catheterization is used. Catheterization of the subclavian vein is performed by a doctor, while catheterization of peripheral veins (elbow, hand) is performed by a specialist who has received the appropriate specialization.

After use, disposable systems are subject to disinfection and destruction.

Target : slow drip introduction of a large amount of liquid (up to several liters per day). The fluid is slowly absorbed and then retained in the body, does not cause large fluctuations in blood pressure and does not complicate the work of the heart.

Places of injection : surface of the vein of the elbow, forearm, hand, foot.

Indications: 1. Diseases in which it is necessary to quickly provide a therapeutic effect. 2. The introduction of medicinal substances that, when administered subcutaneously and intramuscularly, cause irritation or necrosis of tissues.

Contraindications. 1. The impossibility of getting into a vein. 2. Introduction of oily and insoluble substances.

Execution sequence.

1. Wash your hands, dry them, put on a mask, goggles, apron, gloves, treat them with alcohol.

2. Prepare the bottle and ampoules with the drug for work.

3. Draw the drug into the syringe and inject it into the vial with the infusion medium through the rubber stopper (if required for the intended purpose).

4. Check the tightness of the package with the system and the expiration date.

5. Open the system bag with scissors or the disposable package.

6. Remove the system from the packaging by hand.

7. Remove the cap from the airway needle along the vial so that the end of the tube is at the bottom level.

8. Close the system clamp.

9. Remove the cap from the receiving needle and insert the needle into the vial until it stops.

10. Turn the vial upside down and secure it on the tripod.

11. Turn the dropper of the system upside down or horizontally with the filter up.

12. Remove the injection needle together with the cap, fix it in your hand or put it in the package.

13. Open the clamp and fill the dropper half way.

14. Close the clip. Return the dropper to its original position.

15. Open the clamp and fill the entire length of the system with liquid until all air is expelled.

16. Close the clamp, fix the whole system on the tripod.

17. Reattach the injection needle with a cap, open the clamp, check the patency of the needle.

18. Close the clip.

19. Apply a rubber band over the injection site over clothing or a tissue. Check for a pulse in the artery below the tourniquet site.

20. Ask the patient to clench or unclench his fist several times (when puncturing the veins of the upper extremities).

21. Palpate the vein, determine its filling, ask the patient to clench his fist.

22. Take three sterile cotton balls and moisten them with alcohol. Treat the vein puncture site with an upward movement, with one ball wide, the second narrow. Take the third ball in your left hand.

23. Place a sterile drape below the vein puncture site.

24. Pull the skin down with the thumb of your left hand. Fix the vein below the puncture site.

25. Remove the cap from the injection needle of the system and puncture the vein.

26. Make sure that the needle is in the vein (blood will appear in the cannula), carefully remove the tourniquet, re-check that the needle is in the vein.

27. Open the clamp, adjust the rate of drug administration - 20-60 drops per 1 minute (according to the doctor's prescription) (Fig. 39).

Rice. 39. Intravenous drip.

28. Remove the soiled tissue.

29. Place a sterile cloth under the injection needle.

30. Watch the injection for a few minutes, make sure that the liquid does not enter under the skin (swelling appears).

31. Cover the puncture site and the connection of the needle with the system with a sterile cloth, fix with adhesive tape.

32. During the infusion, monitor the operation of the entire system: whether the napkin gets wet with the solution, whether an infiltrate or swelling forms in the infusion area, whether the fluid flow has stopped.

33. Watch the appearance of the patient, pulse, respiratory rate, pay attention to his complaints. At the slightest deterioration in the condition, immediately call a doctor.

34. Close the clamp when the infusion is complete. Peel off the adhesive plaster, lightly press a cotton ball moistened with alcohol to the puncture site, and remove the needle.

35. Press the cotton ball to the puncture site, invite the patient to bend the arm at the elbow joint and hold the ball for 3-5 minutes.

36. Remove the bloody ball and soak it in a container of disinfectant.

37. Put a dry sterile ball on the puncture site.

38. Put the used system in a special container (bix) for subsequent disinfection or disposal.

39. Wash your hands, dry them.

Target: preparation for the introduction into the patient's bloodstream of large amounts of fluid for therapeutic purposes.

Equipment: sterile tray, sterile cotton balls, 70° ethyl alcohol, gloves, disposable intravenous infusion system, intravenous drip solution, waste material container, containers with disinfectant solution.

Algorithm of actions of a nurse when filling the system:

Check the tightness of the packaging bag, the expiration date.

Read the inscription of the drug on the vial, expiration date, dosage.

Wash your hands and put on gloves

Open the packaging bag, remove the system (work on the desktop), put it on the sterilizer lid, on a sterile napkin, sterile tray.

Treat the aluminum cap of the bottle with a cotton ball with alcohol, open the aluminum cap of the bottle with tweezers and treat the rubber stopper of the bottle with a cotton ball with alcohol.

Treat your hands with balls of alcohol.

Remove the cap from the needle of the air duct (short tube with a filter) and insert it all the way into the rubber stopper of the bottle, fix the free end of the air duct on the bottle with a plaster or rubber band at the level of the bottom of the bottle.

Close the screw clamp, remove the cap from the needle at the short end of the system and insert this needle into the stopper of the vial.

Turn the bottle upside down and fix it on the tripod.

Turn the dropper to a horizontal position, remove the capped needle at the end of the long tube of the system and open the clamp, slowly fill the dropper to half the volume.

Close the clamp and return the dropper to its original position. The filter must be completely immersed in the transfusion fluid.

Open the clamp, slowly fill the system until the air is completely expelled and drops appear from the connecting cannula in the rubber tube.

Check for air bubbles in the system - the system is full.

Place the needle with the cap in a sterile napkin.

Put five cotton balls in a sterile tray. Prepare two strips of adhesive plaster, tourniquet, pad, gloves.

Intravenous drip technique

Purpose: in administration of large amounts of fluid into the patient's bloodstream for therapeutic purposes.

Equipment: sterile tray, sterile cotton balls, 70° ethyl alcohol, gloves, intravenous drip infusion system, waste material container, tourniquet, roller, containers with disinfectant solution.

Algorithm of actions of a nurse:

Explain to the patient the course of the upcoming manipulation.

Help the patient to get into a comfortable position.

Wash your hands, put on gloves, treat them with a ball of alcohol.

Remove the cap from the needle, open the screw clamp, fill the needle with medicine, then close the clamp;

Place a roller under the patient's elbow, apply a tourniquet on the middle third of the patient's shoulder (on a sleeve or a napkin).

Treat the area of ​​the elbow in succession with two cotton balls moistened with alcohol, while the patient clenches and unclenches his fist;

Fixing the vein with your left hand, perform venipuncture with a needle from the system, when blood appears in the cannula of the needle, remove the tourniquet;

Open the clamp and adjust the number of drops (40-60 per minute);

Secure the needle with adhesive tape and cover it with a sterile napkin, remove the roller;

At the end of the infusion, close the screw clamp, remove the tissue and adhesive tapes;

Remove the needle from the vein by pressing the injection site with a cotton ball moistened with alcohol for 2-3 minutes (do not leave the cotton ball with the patient);

Invite the patient to bend the arm at the elbow joint;

Remove the tripod;

Disinfect the system;

Take off your gloves, wash your hands

Characteristics of the implementation of the methodology of a simple medical service

Intravenous administration of drugs is performed into peripheral veins (veins of the elbow, rear of the hand, wrists, feet), as well as into the central veins. Intravenous administration of drugs to children under one year old is performed in the temporal veins of the head. Intravenous administration of drugs to children under 1 year of age is performed in the veins of the cranial vault

Algorithm for intravenous administration of drugs (stream)

I. Preparation for the procedure.

1. Help the patient to take a comfortable position: sitting or lying down. If necessary, fix the hand with the help of junior medical personnel. The choice of position depends on the condition of the patient; the administered drug (if the patient has an attack of bronchial asthma, then a position convenient for him is “sitting”, antihypertensive drugs should be administered in the “lying” position, since dizziness or loss of consciousness may occur with a sharp decrease in pressure).

1. Prepare a syringe.

Check the expiration date, the tightness of the packaging.

1. Draw the drug into a syringe, place it in a sterile tray.

A set of a drug in a syringe from an ampoule.

- Shake the ampoule so that the entire drug is in its wide part.

- Treat the ampoule with a cotton ball moistened with an antiseptic.

- File the ampoule with a nail file. With a cotton ball moistened with an antiseptic, treat the ampoule, break off the end of the ampoule.

- Take the ampoule between the index and middle fingers, turning it upside down. Insert a needle into it and draw up the required amount of the drug.

Ampoules with a wide opening - do not turn over. Make sure that when dialing the drug, the needle is always in the solution: in this case, the ingress of air into the syringe is excluded.

- Make sure there is no air in the syringe.

If there are air bubbles on the walls of the cylinder, you should slightly pull the plunger of the syringe and “turn” the syringe several times in a horizontal plane. Then the air should be expelled by holding the syringe over the sink or into the ampoule. Do not expel the medicinal product into the air of the room, it is dangerous to health.

Change needle. If using a reusable syringe, place it and cotton balls in the tray. When using a single-use syringe, put a cap on the needle, place the syringe with the needle, cotton balls in the package from under the syringe.

A set of medicinal product from a vial closed with an aluminum cap.

- Bend off with non-sterile tweezers (scissors, etc.) part of the bottle cap covering the rubber stopper. Wipe the rubber stopper with a cotton ball / tissue moistened with an antiseptic.

- Inject into the syringe a volume of air equal to the required volume of the drug.

- Insert the needle at a 90° angle into the vial.

- Introduce air into the vial, turn it upside down, slightly pulling the piston, draw the right amount of the drug from the vial into the syringe.

- Remove the needle from the vial.

- change the needle.

- Place the syringe with a needle in a sterile tray or packaging from a single-use syringe in which the drug was collected.

The opened (multi-dose) vial should be stored no more than 6 hours.

1. Select and examine / palpate the area of ​​​​the proposed venipuncture to avoid possible complications.

When performing venipuncture in the region of the cubital fossa, offer the patient to extend the arm as much as possible in the elbow joint, for which purpose place an oilcloth pad under the patient's elbow.

1. Apply a tourniquet (on a shirt or diaper) so that at the same time the pulse on the nearest artery is palpable and ask the patient to squeeze the hand several times into a fist and unclench it.

II. Performing a procedure.

1. Treat the venipuncture area with at least 2 wipes / cotton balls with skin antiseptic, movements in one direction, while determining the most filled vein.

If the patient's hand is heavily soiled, use as many antiseptic cotton balls as needed. When performing intravenous administration of the drug in a treatment room, throw a cotton ball into the pedal bucket; when performing intravenous administration of the drug in other conditions, place a cotton ball in a waterproof bag.

1. Take the syringe, fixing the cannula of the needle with the index finger. The remaining fingers cover the syringe barrel from above.
2. Stretch the skin in the venipuncture area, fixing the vein. Hold the needle with the cut up, parallel to the skin, pierce it, then insert the needle into the vein (no more than 1/2 of the needle). When the needle enters the vein, there is a "hit in the void."
3. Make sure that the needle is in the vein: pull the plunger towards you, while blood should flow into the syringe.
4. Untie/loosen the tourniquet and ask the patient to open his fist. To control the needle in the vein, pull the plunger towards you again, because. at the moment the tourniquet is loosened, the needle can come out of the vein
5. Press the plunger without changing the position of the syringe, and slowly (in accordance with the doctor's recommendations) inject the drug, leaving a small amount of solution in the syringe.

The amount of milliliters left in the syringe should be sufficient for safe administration (preventing air bubbles from entering the vein).

III. End of procedure.

1. Press a cotton ball with a skin antiseptic to the injection site. Remove the needle, ask the patient to hold a napkin / cotton ball at the injection site for 5-7 minutes, pressing the thumb of the second hand or bandage the injection site. (if necessary, performed by junior medical staff)

The time that the patient holds the cotton ball at the injection site (5-7 minutes) is recommended.

1. Treat hands in a hygienic way, dry.

Algorithm for the intravenous administration of drugs (drip using a system for infusion of infusion solutions).

Preparation for the procedure.

1. Introduce yourself to the patient, explain the course and purpose of the procedure.
2. Invite the patient to empty the bladder, taking into account the duration of the procedure.
3. Help the patient to take a comfortable position, which depends on his condition. if necessary, fix the hand with the help of junior medical personnel
4. Fill the single-use infusion device and place it on the infusion stand.

Filling the single-use infusion device

- Check the expiration date of the device and the tightness of the package.

- Using non-sterile tweezers, open the central part of the metal cap of the vial, treat the rubber stopper of the vial with a cotton ball moistened with an antiseptic solution.

- Open the packaging bag and remove the device (all actions are performed on the desktop).

- Remove the cap from the needle of the air duct (a short needle with a short tube closed by a filter), insert the needle all the way into the cork of the bottle, fix the free end of the air duct on the bottle (with a plaster, pharmaceutical gum).

In some systems, the duct opening is located directly above the dripper. In this case, you only need to open the plug that covers this hole.

- Close the screw clamp, remove the cap from the needle at the short end of the device, insert this needle all the way into the stopper of the vial.

- Turn the vial over and fix it on a tripod.

- Turn the dropper to a horizontal position, open the screw clamp: slowly fill the dropper to half the volume.

If the device is equipped with a soft dropper, and it is rigidly connected to the vial needle, it is necessary to simultaneously squeeze it from both sides with your fingers and the liquid will fill the dropper.

- Close the screw clamp and return the dropper to its original position, while the filter must be completely immersed in the drug intended for infusion.

- Open the screw clamp and slowly fill the long tube of the system until the air is completely expelled and drops appear from the injection needle. Drops of the drug are best drained into the sink under running water to avoid environmental pollution.

It is possible to fill the system without putting on an injection needle, in which case drops should appear from the connecting cannula.

— Check that there are no air bubbles in the long tube of the device (device is full).

- Put in a sterile tray or in a packaging bag an injection needle closed with a cap, cotton balls with a skin antiseptic, a sterile napkin.

- Prepare 2 strips of a narrow adhesive plaster, 1 cm wide, 4-5 cm long.

1. Deliver the manipulation table to the ward, with the necessary equipment placed on it.
2. Examine / palpate the site of the proposed venipuncture to avoid possible complications.

When performing venipuncture in the region of the cubital fossa, offer the patient to extend the arm as much as possible in the elbow joint, for which purpose place an oilcloth pad under the patient's elbow.

1. Apply a venous tourniquet (on a shirt or diaper) in the middle third of the shoulder so that at the same time the pulse on the radial artery is palpated and ask the patient to squeeze the hand several times into a fist and unclench it.

When performing venipuncture in the region of the cubital fossa - apply a tourniquet in the middle third of the shoulder, check the pulse on the radial artery.

1. When applying a tourniquet to a woman, do not use the hand on the side of the mastectomy.

Performing a procedure.

1. Treat the area of ​​the elbow bend with at least 2 cotton balls with a skin antiseptic, movements in one direction, while determining the most filled vein.

If the patient's hand is heavily soiled, use as many antiseptic cotton balls as needed. Fix the vein with your finger, stretching the skin over the venipuncture site.

1. Puncture the vein with a needle with a system connected to it; when a blood needle appears in the cannula, ask the patient to unclench the hand, at the same time untie / loosen the tourniquet.

All used cotton balls are placed in a waterproof bag.

1. Open the screw clamp, adjust the speed of the drops with the screw clamp (according to the doctor's prescription).
2. Secure the needle and the system with adhesive tape, cover the needle with a sterile napkin, and secure it with adhesive tape.
3. Remove gloves, place them in a waterproof bag
4. Treat hands in a hygienic way, dry.
5. Monitor the patient's condition, his well-being throughout the entire procedure (in conditions of assistance during transportation, the duration of observation is determined by the duration of transportation).

End of procedure.

1. Wash and dry hands (using soap or antiseptic).
2. Wear gloves (non-sterile).
3. Close the screw clamp, remove the needle from the vein, press the puncture site for 5-7 minutes with a cotton ball with a skin antiseptic, pressing the thumb of the other hand or bandage the injection site. (if necessary, performed by junior medical staff)
4. Make sure that there is no external bleeding in the venipuncture area.
5. Disinfect all used material.
6. Remove gloves
7. Treat hands in a hygienic way, dry.
8. Make an appropriate record of the results of the implementation in the medical documentation.

Algorithm for the intravenous administration of drugs, by jet and drip, through a catheter installed in the central vein.

.

1. Introduce yourself to the patient, explain the course and purpose of the procedure.
2. Help the patient to take a comfortable sitting or lying position, if necessary, resort to the help of junior medical personnel) The choice of position depends on the patient's condition, the drug being administered and the method of drug administration - jet or drip.
3. Treat hands in a hygienic way, dry, put on gloves.

Execution of a procedure.

1. Cover the catheterization site with sterile drapes.
2. Remove the stopper (plug) and put it on a sterile napkin, treat the external entrance of the catheter with a sterile napkin / gauze ball moistened with an antiseptic.

If an old cork is used, then it must be treated with an antiseptic and placed in a sterile napkin. It is recommended to use a new plug.

1. Press the plunger and slowly (in accordance with the doctor's recommendations) inject the drug, leaving a few milliliters of the drug in the syringe. With the drip method of administering the drug, check the patency of the catheter by connecting a syringe with saline solution - 2 ml to it. The rate of administration depends on the doctor's prescription.

The amount of solution left in the syringe should be sufficient to ensure safe administration (preventing air bubbles from entering the vein).

If, when pressing the plunger, the drug cannot be injected with the usual effort, you should stop the procedure and inform the doctor, because. the catheter needs to be replaced.

With the drip method of administering drugs, after connecting the system, fix it, remove the seals, place them in a waterproof bag, make sure that the patient is comfortable, and wash their hands. Monitor the patient until the end of the procedure.

End of procedure.

1. For jet administration of drugs, disconnect the syringe from the catheter and close the catheter with a sterile stopper.
2. 2. With the drip method of administering drugs - wash your hands, put on sterile gloves. Disconnect the system for transfusion of infusion solutions from the catheter, close the catheter with a sterile stopper.
3. Close the catheter with a sterile drape, secure it.
4. If the procedure was carried out in the treatment room, then place the used device for infusion of infusion solutions or the used syringe and cotton balls, a diaper in a container with a disinfectant solution. If the procedure was performed in the ward, then place the used device for infusion of infusion solutions or the used syringe and cotton balls, diaper in a puncture-proof container and transport to the treatment room.
5. Remove gloves, place them in a container for disinfection.
6. Treat hands in a hygienic way, dry.
7. Make an appropriate record of the results of the implementation in the medical documentation.

Algorithm for intravenous administration of drugs, by jet and drip, through a catheter installed in a peripheral vein.

Preparation for the procedure.

1. Introduce yourself to the patient, explain the course and purpose of the procedure.

Help the patient to take a comfortable position (sitting or lying down). If necessary, resort to the help of junior medical personnel. The choice of position depends on the patient's condition, the administered drug and the method of drug administration - jet or drip.

1. Treat hands in a hygienic way, dry, put on gloves.
2. Assemble the syringe and draw up the drug, or fill the infusion device for single-use infusion solutions and place it on the infusion stand.

See above for the drug intake algorithm and system filling.

1. Deliver the necessary equipment to the ward.

Performing a procedure.

1. Remove the plug and put it on a sterile napkin, treat the external entrance of the catheter with a sterile napkin / cotton ball moistened with an antiseptic.
2. Connect a syringe (without a needle) or a system for transfusion of infusion solutions.
3. Press the plunger and slowly (in accordance with the doctor's recommendations) inject the drug, leaving a few milliliters of the drug in the syringe. With the drip method of intravenous administration of drugs, check the patency of the catheter by connecting a syringe with saline solution -2 ml to it. The rate of administration depends on the doctor's prescription.

The amount of milliliters left in the syringe should be sufficient to ensure safe administration (preventing air bubbles from entering the vein).

If, when pressing the piston, the drug cannot be injected with the usual effort, then you should stop the procedure and inform the doctor, because. the catheter needs to be replaced.

With the drip method of administering the drug, after connecting the system, fix it, remove the seals, place them in a waterproof bag, make sure that the patient is comfortable, wash their hands. Monitor the patient until the end of the procedure.

End of procedure.

1. With the jet method of administration, disconnect the syringe from the catheter and close the catheter with a sterile stopper.
2. With the drip method of administering the drug, wash your hands, put on non-sterile gloves. Disconnect the system for transfusion of infusion solutions from the catheter, close the catheter with a sterile stopper.
3. Close the catheter with a sterile drape and secure it.
4. If the procedure was performed in the treatment room, then place the used device for infusion of infusion solutions or the used syringe and cotton balls in a container with a disinfectant solution. If the procedure was performed in the ward, then place the used device for infusion of infusion solutions or the used syringe and cotton balls in a puncture-proof container and transport to the treatment room.
5. Remove gloves and place them in a container for disinfection.
6. Treat hands in a hygienic way, dry.
7. Make an appropriate record of the results of the implementation in the medical documentation.