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Drug Administration
Dr. VINEETH V
GTBH AND UCMS
DELHI
Objective
Every member of hospital staff involved with
intravenous therapy will be able to apply the
correct infection control precautions to this
procedure
Introduction
Vascular access devices is vital for administering
various fluids and drug therapies. it's critical to
maintain an appropriate infection control
measures to save lives and money and reduce
healthcare burdens.
Types of intravenous devices:
1. Peripheral cannulas :
placed into a peripheral vein
Phlebitis:
• Inflammation of a blood vessel
Thrombophlebitis:
• Similar to phlebitis but a thrombus (or clot) is in addition
involved
Local Infection (abscess):
• A microscopic organism may use the tiny hole in the
skin created by the IV catheter to find its way into the
body, and cause an infection
CONTINUES
Infiltration :
• This occurs when the catheter unintentionally
enters the tissue surrounding the blood vessel
and the IV fluid go into the tissues.
Hematoma:
• collection of blood caused by internal bleeding.
Hypothermia:
• When large amounts of cold fluids are infused.
Rapid temperature changes occurs and may
precipitate ventricular fibrillation.
Infectious Micro-organisms associated
with IV therapy
• Staphylococcus epidermidis
• Staphylococcus aureus
• Enterococcus .
• Klebsiella
• Pseudomonas
• E. Coli
• Candida
Reservoirs
• Patients Skin – resident microflora
• Equipment
• IV Solutions & drugs
• Environment
• H c provider Hands
INFECTION CONTROL MEASURES
1.Collect all required equipment, checking
expiry date and the correct catheter size for
the purpose and length of infusion
2. Confirm patient identity and provide
explanation
3. Hand washing
Should be performed before
and after inserting, replacing , repairing, or
dressing an intravascular catheter
4. Wearing gloves
Wear clean gloves, rather than sterile gloves, for the
insertion or changing the dressing of peripheral
intravascular catheters. Sterile gloves should be worn
for the insertion of arterial, central, and midline
catheters.
5. Patient skin preparation
Alcohol swab to remove bacteria prior to insertion and
allow it to dry; this doesn’t protect the patient for a
longer period. Chlorhexidine Gluconate with 70%
alcohol gives longer duration of protection
6.Securing Catheter insertion site.