Should You Irrigate an Occluded I.V. Line?

Barrus, Dorothy H.; Danek, Gale

doi:10.1097/00152193-198703000-00025

Cited by 4 publications

(1 citation statement)

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“…In addition to phlebitis and thrombophlebitis, complications of IV therapy include sepsis, pulmonary embolism, extravasation of fluid outside the vein, and inflammation of the skin (12,(17)(18)(19)(20)(21)(22). A related problem is that during the activity of the second stage of labor it is easy for the lines to become dislodged, leading to possible hasty reinsertion under less than ideal circumstances.…”

Section: Do IV Lines Introduce a Possible Route For Infection And Ovementioning

confidence: 99%

Psychologic, Physical, Nutritional, and Technologic Aspects of Intravenous Infusion During Labor

Newton

Newton²,

Broach

1988

Birth

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Giving intravenous (IV) fluids in labor is currently an accepted custom in United States hospitals, although most indications for this practice have not been validated by adequate outcome research. This paper discusses the following questions: I) Does IV therapy add pain to the woman in labor? 2) Does it have an adverse impact on the attitudes of health care workers and on the laboring woman? 3) Does partial immobilization caused by IV lines have adverse effects? 4) Does the practice introduce a possible route of infection and overdose of fluids? 5 ) Do IV fluids give adequate nutrition in labor? 6) Does glucose administered intravenously sometimes cause psychophysical and neurologic complications? 7) Might forced feeding with glucose in IV fluids in late labor sometimes be harmful? The need for individualized treatment and much more research is emphasized. (BIRTH 15:2, June 1988)

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Section: Do IV Lines Introduce a Possible Route For Infection And Ovementioning

confidence: 99%

Psychologic, Physical, Nutritional, and Technologic Aspects of Intravenous Infusion During Labor

Newton

Newton²,

Broach

1988

Birth

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Peripheral Intravenous Access

Liu¹,

Zane²

2010

Clinical Procedures in Emergency Medicine

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Is Heparin Really Necessary in the Lock and, If So, How Much?

Weber

1991

DICP

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The literature on the issue of whether heparin is necessary in an intermittent peripheral venous access device (lock) is critically reviewed. Issues explored include loss of patency, development of phlebitis, duration of lock placement, type of cannula material, sample size, risk of toxicity with heparin flush solutions, risk of clot embolism, and physical or chemical incompatibilities. Available studies indicate that heparin is not necessary to maintain fluoroethylenepropylene (FEP-Teflon) peripheral venous access devices unless the lock is used to obtain blood specimens. Considering the benefit-to-risk ratio for the use of heparin, it is advisable to maintain FEP-Teflon locks with normal saline alone. When locks are used to obtain blood specimens, as in a pharmacokinetic study, then a dilute heparin flush solution should be used. Whether heparin is necessary for the maintenance of locks composed of other materials is uncertain. Newer, less thrombogenic materials such as ethylene tetrafluoroethylene may also obviate the need for heparin, but comparative trials in a larger number of patients are needed for confirmation. When heparin is used, an effort should be made to avoid systemic toxicities by using the lowest known effective concentration (10 units/mL) pending further studies.

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Should You Irrigate an Occluded I.V. Line?

Cited by 4 publications

References 0 publications

Psychologic, Physical, Nutritional, and Technologic Aspects of Intravenous Infusion During Labor

Psychologic, Physical, Nutritional, and Technologic Aspects of Intravenous Infusion During Labor

Peripheral Intravenous Access

Is Heparin Really Necessary in the Lock and, If So, How Much?

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