Table of Contents

 

 

 

1

Assessment of the Older Adult Receiving Infusion Therapy

5

 

The Older Adult

6

 

Physiological Changes and Infusion Considerations

6

 

Integumentary System

6

 

Immune System

7

 

Musculoskeletal System

7

 

Digestive System

8

 

Respiratory System

8

 

Cardiovascular System

8

 

Neurological System

9

 

Genitourinary System

9

 

Psychological Assessment

9

 

Environmental Assessment

10

 

Summary

10

2

Patient Care

11

 

Patient Assessment

12

 

Physician’s Order

14

 

Informed Consent

16

 

Unusual Occurrence Reporting

17

 

Patient Education

18

 

Care Planning

21

 

Discharge Planning

22

 

Hand Hygiene and Infection Control

23

 

Documentation

24

3

Infusion Equipment

27

 

Armboards and Restraints

28

 

IV Poles

30

 

Infusion and Flow Control Devices

31

 

Add-On Devices

34

 

Tourniquets

36

4

Site Selection and Device Placement

37

 

Site Selection

38

 

Catheter Selection

41

 

Local Anesthesia

43

 

Insertion Site Preparation

45

 

Catheter Placement

47

 

Device Securement

49

5

Care and Maintenance

51

 

Dressing Change

52

 

Flushing

54

 

Administration Sets and Set Change

57

 

Catheter Removal

61

6

Complication Management

63

 

Catheter-Related Complications

64

 

Infection

64

 

Occlusion

67

 

Embolism: Catheter

70

 

Phlebitis

72

 

Infusion-Related Complications

74

 

Infiltration

74

 

Extravasation

77

 

Allergic Reaction

79

 

Embolism: Air

81

 

Pulmonary Edema

83

 

Speed Shock

85

7

Infusion Therapies

87

 

Hypodermoclysis

88

 

Parenteral Pain Management

93

 

Pain Management via Continuous Subcutaneous Infusion

96

 

Blood Specimen Collection

101

8

Appendix

107

 

Older Infusion Patient Assessment: Systems Approach

108

 

Older Adult Infusion Patient: Selected Peripheral Infusion Sites

109

 

Pain Intensity Guide

110

9

Resources and References

111