Chapter 1
Case Study #1
- When initiating an IV for Eli, you will consider the following:
- Client assessment: Check Eli’s vital signs, hydration status, and any underlying medical conditions.
- Site selection: Choose the best IV site, taking into consideration the age of the client, access, and current skin condition.
- Equipment and supplies: Ensure you have all necessary equipment, such as an IV catheter, tubing, and a sterile dressing. The catheter size for a child will be smaller, and a 22-gauge or 24-gauge catheter may be appropriate.
- Safety measures: Follow standard infection control procedures to prevent transmission of infectious diseases.
- Client comfort: Explain the procedure to Eli in age-appropriate terms. Include his grandmother and ensure that they understand the process. Offer comfort measures such as a blanket or a favorite toy to minimize stress and anxiety.
- Proper technique: Follow the proper technique for inserting an IV catheter and document the insertion site.
- Monitoring: Monitor Eli for any adverse reactions and make note of any changes in his condition.
- Medication administration: Administer the diphenhydramine as ordered, following proper medication administration guidelines.
All of the answers to the interactive element are found within the element.