Intravenous Therapy: A Review of Complications and Economic Considerations of Peripheral Access

Despite the growing frequency of intravenous (IV) injections, establishing peripheral IV access is challenging, particularly in patients with small or collapsed veins. Therefore, patients often endure failed attempts and eventually become venous depleted. Furthermore, maintaining patientsʼ vascular...

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Bibliographic Details
Published in:	Journal of infusion nursing Vol. 35; no. 2; pp. 84 - 91
Main Authors:	Dychter, Samuel S, Gold, David A, Carson, Deborah, Haller, Michael
Format:	Journal Article
Language:	English
Published:	United States Copyright by the Infusion Nurses Society 01-03-2012
Subjects:	Catheterization, Peripheral - adverse effects Catheterization, Peripheral - economics Catheterization, Peripheral - nursing Catheters, Indwelling Humans Infusions, Intravenous - adverse effects Infusions, Intravenous - economics Infusions, Intravenous - nursing Nursing Thrombophlebitis - etiology United States United States
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Summary:	Despite the growing frequency of intravenous (IV) injections, establishing peripheral IV access is challenging, particularly in patients with small or collapsed veins. Therefore, patients often endure failed attempts and eventually become venous depleted. Furthermore, maintaining patientsʼ vascular access throughout treatment is difficult because a number of complications including phlebitis, infiltration, extravasation, and infections can occur. The aim of this article is to review the use of the IV route for administering therapy, identify and analyze key risks and complications associated with achieving and maintaining peripheral IV access, examine measures to reduce these risks, and discuss implications for nurses in clinical practice.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	1533-1458 1539-0667
DOI:	10.1097/NAN.0b013e31824237ce