Talk:Intravenous therapy

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[edit] Moved

Moved this from an earlier version of the article, not sure where it should properly go:

When drugs are said to be administered IV that means that they are injected directly into the veins of a patient (this could be through an IV as well). This is in contrast to IM, or intermuscular, where the drugs are administered to the patient, via a needle, into the patients muscles. It takes a lot longer for drugs administered IM to have an effect on the patient and it also usually requires more drug.

Any ideas? Kosebamse 14:40 Apr 10, 2003 (UTC)

I just greatly expanded this article, and moved it from "intravenous drip" to "intravenous therapy" as it now includes more on the different methods of intravenous access, not just what you do with it. It covers the passage mentioned above too. --Hob 19:44, 2004 Aug 4 (UTC)

"The few cases that are known to have stopped the heart occurred not by clinical intravenous therapy, but by self-administration of vaginal powders using air-bulb insufflators, when the vagina had severe bleeding." WHAT IS THAT? I deleted this. Hopefully someone can finish up that last sentence now.

[edit] Problems with PVLs

I may be wrong, in which case I welcome enlightenment, but I always thought the main reasons for the short lifespan of a peripheral line were infiltration and phlebitis. I certainly end up taking the things out early very often due to infiltration, while site infection is, in my experience, much rarer. And I question whether site infection is really more likely with PVLs than with PICCs (I mean, by their nature - I realize that PVLs are more likely to get put in with sloppy sterile technique). Bacteria have no farther to go from skin to bloodstream with a PICC. No? --Hob 04:52, 2004 Aug 5 (UTC)

gedday Hob, I really changed that sentence to make it run into the next one: "Hospital policies usually dictate that every peripheral IV be replaced (at a different location) every three days to avoid this complication." Hospital policies are written to avoid bactaraemia which is dangerourous, rather than avoid phlebitis or inflamation. If you're not putting irritant drugs down the line a cannula should last over a week - especially if its in a good position.

I agree with you about the PICCs - but have no data. I suspect greater respect from all that touch them may reduce the infection rate a bit though... Erich 05:31, 5 Aug 2004 (UTC)

[edit] Lymphoma

How can they tell you have lymphoma by a CATscan...?

They can't. They can tell if you have enlarged lymph nodes or an enlarged spleen by a CAT scan, which will suggest that they perform a procedure to tell whether you have a lymphoma or not. - Nunh-huh 00:29, 18 February 2007 (UTC)

[edit] Photo

Great photograph. Must have been taken with a digital camera.FET 01:43, 21 May 2005 (UTC)

[edit] need History section

Someone asked on the Reference Desk today who invented the IV, after finding Wikipedia no help. It's true; this article has no History section, and could probably use one. Anyone know enough about the history to start such a section? Steve Summit (talk) 05:08, 15 February 2006 (UTC)

[edit] Question about fluid load.

Given 1000cc NS how long will that 1000cc of fluid stay in the body?

SPC Miller, Martin D SPC US Army LPN

[edit] Vac lock. PICC. Heparin lock. Frail elderly patients. Smaller needles

a. Vac. What does the term vac mean?... in vac lock

b. Vac lock. PICC. What is the difference between a vac lock and a PICC peripherally inserted central catheter?...

c. Vac lock. Heparin lock. What is the difference between a vac lock and a heparin lock?... the explanations are not completely clear at http://en.wikipedia.org/wiki/Intravenous_therapy http://en.wikipedia.org/wiki/PICC_line

d. Frail elderly patients. For elderly frail patients what other techniques are available?... to mitigate the pain of the needle and to mitigate the pain of infections that develop at an intravenous site on an arm or hand.

e. Smaller needles. Are there smaller needles that can be used effectively?... for elderly frail patients or babies.

dsaklad at zurich.csail.mit.edu 12:43, 26 September 2007 (UTC)

[edit] intraarterial therapy

'Intraarterial' redirects here. Is this erroneous? Aren't intraarterial lines much different from intravenous lines? Intraarterial therapy needs either a mention here or its own page. Someone with adequate medical knowledge needs to do one of these things.--Jmjanzen (talk) 18:01, 23 April 2008 (UTC)

[edit] Colloids

The IV fluids section mentions crystalliods and colloids. The most common crystalloids are then described, but none of the colloids. Phizq (talk) 11:23, 2 June 2008 (UTC)