Nursing issues


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Student EEN Question

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Author Student EEN Question

GPH Student

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  • Joined: Jun 2011
  • Location:
  • Posts: 2

Mon Jun 20, 2011 10:06 am

Just a question guys that im having trouble finding out about on the internet.

Why would a burette be incorperated into the infusion system?

and..

your client has intravenous therapy running to relieve acute symptoms of diverticulitis. while assessing your client you have checked and confirmed that the fluid is running well and at the correct rate however the client is complaing that the arm where the cannula is situated is painful. you assess the area and you not some redness not at the site of insertion but further up the arm. the skin temp over this area is warmer than the other areas of the arm. the IV has been commenced 4 days ago and is still in the original site. what is the likely cause of the problem and what would you do??

Any help/ideas or information would be helpful..

Thanks

ticklish

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Moderated by: admin

  • Joined: Sep 2009
  • Location: North Brisbane
  • Posts: 38

Jun 26, 2011, 10:49 am Last edited Jun 26, 2011, 10:49 am update #1

A burette can be used for a few different reasons. If a patient is having multiple IVAB's that need to be transfused instead of pushed using a burette is easier then having to make up a new bag & line every time. Also in paediatrics its safer to use a burette to infuse fluids so they cant be accidentely given too much fluid.

As for the IVC, sounds like its tissued, so it has migrated from the vein into the surrounding tissue and is pumping fluid into the surrounding tissues which will cause pain, inflammation, swelling & redness. I would stop the IV therapy and get a new IVC inserted. As for an EEN though I guess you would notify the RN aswell.

modified: Thursday 05 April 2012 10:33:33 pm - admin

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