Plumer's principles & practice of intravenous therapy / Sharon M. Weinstein.

Format:

Book

Author/Creator:

Weinstein, Sharon.

Contributor:

Plumer, Ada Lawrence.

Language:

English

Subjects (All):

Intravenous therapy.

Infusions, Intravenous--methods.

Infusions, Intravenous--nursing.

Evidence-Based Medicine.

Fluid Therapy--methods.

Nurse's Role.

Parenteral Nutrition--methods.

Medical Subjects:

Infusions, Intravenous--methods.

Infusions, Intravenous--nursing.

Evidence-Based Medicine.

Fluid Therapy--methods.

Nurse's Role.

Parenteral Nutrition--methods.

Physical Description:

xvii, 753 pages : illustrations ; 24 cm + 1 CD-ROM (4 3/4 in.)

Edition:

Eighth edition.

Other Title:

Plumer's principles and practice of intravenous therapy

Principles & practice of intravenous therapy

Principles and practice of intravenous therapy

Intravenous therapy

Place of Publication:

Philadelphia : Lippincott Williams & Wilkins, [2007]

Summary:

Accompanying CD-ROM contains ... "handy drug monographs on more than 100 commonly used intravenous agents, in a printable format ideal for patient teaching, and 11 appendices with valuable information on continuinng education, governmental regulations, and other subjects relevant to infusion therapy."--P. [4] of cover.

Contents:

Unit 1 Overview of Infusion Therapy

1 History of Infusion Therapy 3

Early History and Methodology 3

The Infusion Nurses Society, Inc. 8

Infusion Nursing in the 21st Century 8

2 Minimizing Risk and Improving Performance 10

Professional Nursing and Legal Safeguards 10

Professional Nursing and Performance Improvement 16

3 Nursing Role and Responsibilities 24

Collaborative Role of the Nurse 24

Role of Infusion Nursing Teams 25

Resource Nurse 25

Mentor 25

Educator and Knowledge-Sharer 25

Magnet Team Member 27

Shared Governance 28

Role as a Leader 28

IV Department Considerations 28

Impact of Cost Containment on Teams 33

The Future of Infusion Nursing 33

4 Application of Infusion Nurses Society Standards of Practice 39

The Standards 39

Policies, Procedures, and Infusion Therapy 39

Competencies in Practice 40

Unit 2 Assessment and Monitoring

5 Anatomy and Physiology Applied to Infusion Therapy 53

Vascular Anatomy and Therapeutic Goals 53

Systems and Organs Involved in Infusion Therapy 54

6 Laboratory Tests and Values 63

Reference Range 63

Peak and Trough Testing 64

Collection of Venous Blood 64

Common Laboratory Tests 71

Herbal Preparations and Effect on Drug Levels 90

7 Fluid and Electrolyte Balance 94

Overview of Physiology 94

Objectives of Fluid and Electrolyte Therapy 108

Fluid and Electrolyte Disturbances in Specific Patients 111

8 Principles of Parenteral Fluid Administration 124

Parenteral Fluids 124

Intravenous Infusion 125

Kinds and Composition of Fluids 127

Evaluation of Water and Electrolyte Balance 139

Clinical Disturbances of Water and Electrolyte Metabolism 145

9 Complications and Interventions 152

Understanding Complications 152

Local Complications 153

Systemic Complications 162

Additional Hazards: Particulates 179

Ongoing Monitoring and Precautions 181

10 Evidence-Based Infusion Practice 188

Evidence-Based Nursing 188

Competency-Based Programs and Documentation 198

Unit 3 Clinical Decision Making

11 Infusion Equipment and Safety 203

Physical Principles of Equipment Use 203

Safety Principles and Selection of Equipment 211

Equipment Safety and Use 238

12 Peripheral Infusion Therapy Techniques 242

Approach to Preparation 242

Considerations for Vein Selection 245

Considerations Before Beginning the Infusion 249

Considerations for Venipuncture Procedure 251

13 Short Peripheral Access 260

Short Peripheral Catheters 260

Insertion Techniques 260

Hypodermoclysis 269

Phlebotomy 269

14 Central Venous Access 277

Central Venous Access 277

Overview of CVC Types, Materials, and Properties 280

Central Venous Access Device Selection 285

Preparation for CVC Insertion 287

Insertion of the Central Venous Catheter 289

Uses for Central Venous Catheters 291

Central Venous Access Device Descriptions, Insertions, and Considerations 295

Peripherally Inserted Central Catheter (PICC): Considerations and Insertion Information 297

Implanted Ports 304

Implanted Pumps 306

Care and Maintenance of Central Venous Access Devices 308

Complications of Indwelling Central Venous Catheters or Devices 315

Nursing Practice: Skilled, Knowledgeable, and Safe 325

15 Alternate Access 331

Role of Arterial Blood Gas Analysis 331

Access Sites for Arterial Blood Analysis 333

One-Time Arterial Blood Sampling 334

Use of an Indwelling Arterial Catheter 338

Intra-Arterial Parameters and Interpretation 345

Unit 4 Patient-Specific Therapies

16 Parenteral Nutrition 361

History of Parenteral Nutrition 361

Indications for Parenteral Nutrition 362

Nutritional Assessment 363

Nutritional Requirements 373

Parenteral Nutrition Solutions 377

Administration of Parenteral Nutrition 383

Nursing Management in Parenteral Nutrition 391

Complications of Parenteral Nutrition 394

Home Parenteral Nutrition 405

17 Transfusion Therapy 413

Transfusion Therapy-21st Century Considerations 413

Basic Immunohematology 415

Pre-Transfusion Testing, Blood Donation, and Blood Preservation 418

Whole Blood 422

Red Blood Cells 423

Platelets 426

Granulocytes 427

Plasma 428

Transfusion Reactions 428

Blood Administration 451

Factor V Leiden 459

18 Pharmacology Applied to Infusion Therapy 465

Administering Drug Therapy by the Intravenous Route 465

Advantages of the Intravenous Route 465

Disadvantages of the Intravenous Route 469

Safeguards to Minimize Hazards of Administering Intravenous Drugs 476

19 Antineoplastic Therapy 486

Role of the Intravenous Nurse in Chemotherapy/Biotherapy Education 486

Safe Preparation, Handling, and Disposal of Chemotherapeutic and Biologic Agents 496

Overview of Antineoplastic Therapy 497

Systemic Drug Delivery Technique 532

Complications of Chemotherapy 544

Management of Side Effects 562

20 Pain Management 576

Role of Nurses in Pain Management 576

Acute Pain 580

Chronic Pain 582

Opioids 582

Staff Education 598

Intravenous Conscious Sedation 598

Continuous Local Anesthetics 603

Documentation 603

Unit 5 Special Applications of Intravenous Therapy

21 Pediatric Intravenous Therapy 613

Intravenous Therapy in Infants and Children 613

Physiologic and Psychologic Stages of Development 613

Conditions and Disease States 625

Infusion Therapies for Neonates and Children 638

Intravenous Administration Equipment 649

Vascular Access Devices 650

Peripheral Intravenous Access 669

Alternative-Site Pediatric Intravenous Therapy 680

22 Infusion Therapy in an Older Adult Patient 686

Demographics: An Aging Population 686

The Older Patient as a Health Care Consumer 687

Physiology of Aging 688

Access and Equipment 692

Maintenance and Monitoring 695

23 Infusion Therapy in Alternate Clinical Settings: Cost Factors and Treatment Modalities 699

The Changing Health Care Environment 699

Influence of Managed Care 700

Home Health Care 701

Hospice 717

Subacute Care Facilities 717

Ambulatory Infusion Centers 718

Long-Term Care 719

Future Infusion Technology for Alternate Care Programs 720

24 The Future of Infusion Nursing 723

Strategic Partnering 723

Impression of the Profession 723

Safe Working Environment 724

Workforce Shortage and Safe Staffing 724

International Migration 724

A Universal Perspective 725.

Notes:

Includes bibliographical references and index.

ISBN:

0781759447

OCLC:

62897579

Publisher Number:

9780781759441