Intravenous Access

1. Intravenous Access

2. Intravenous (IV) Access Indications

• Fluid and blood replacement;
• Drug administration;
• Obtaining venous blood
specimens for lab analysis.

3. Types of IV Access

• Peripheral venous access
• Central venous access

4. Peripheral IV access sites

5. Central Venous Access

• Veins located deep in the body;
• Internal jugular, subclavian,
femoral veins;
• Larger veins that will not collapse
in shock.

6. Peripheral IV Access

7. Place the constricting band.

8. Cleanse the venipuncture site.

9. Insert the intravenous cannula into the vein.

10. Withdraw any blood samples needed

11. Connect the IV tubing.

12. Secure the site.

13. Peripheral Intravenous Access in an External Jugular Vein

14. Place the patient in a supine or Trendelenburg position.

15. Turn the patient’s head to the side opposite of access and cleanse the site.

16. Occlude venous return by placing a finger on the external jugular just above the clavicle.

17. Point the catheter at the medial third of the clavicle and insert it, bevel up, at a 10°–30° angle.

Point the catheter at the medial third of the
clavicle and insert it, bevel up, at a 10°–
30° angle.

18. Enter the jugular while withdrawing on the plunger of the attached syringe.

19. IV Access Complications

• Local infection
• Pyrogenic
reaction
• Accidental
arterial
puncture
• Circulatory
overload
• Thrombophlebitis
• Thrombus
formation
• Air embolism