If the cast is on the arm then use the other arm - either the back of the hand, wrist or cubital fossa (elbow).
check patient iv site
The IV needs to be removed and the patient may need antibiotics to prevent the infection from entering the bloodstream.
To start a scalp vein IV on a pediatric patient, first ensure the child is calm and comfortable, using appropriate distraction techniques if necessary. Clean the site with an antiseptic and apply a tourniquet to enhance vein visibility. Choose a suitable vein, often located on the forehead or scalp, and insert a small gauge IV catheter at a shallow angle. After successful insertion, secure the IV and remove the tourniquet, ensuring proper placement and flow before connecting to the IV line.
Possibly an indicator of an infected IV site -- or that the IV either missed or pierced through the vein and the injectant was accidentally delivered at least partially subcutaneously instead of IV. If the site is red and hot to the touch I'd lean towards infected site, and act smartly. IV site infections can travel into the bloodstream. A cool bulge (at first), possibly with localized hematoma is indictative of a "miss". This may or may not require treatment depending on what was injected (tetracycline will sclerose at the injection site; normal saline will harmlessly absorb, for instance). In any case, move to another IV site with this patient. Also, if this is a SubQ "miss", note that the patient likely did not receive the proper dosage of whatever you were trying to inject.
When asking why blood is drawn 'below' an IV site, it is presumed that this means distal (or further from the heart) when compared to the IV. The reason for drawing blood distal to the site of IV insertion is simple. When venous blood returns to the heart, administration of medications, electrolytes, and fluids is often through the IV. Therefore, we want to obtain blood which has not yet been affected by the medication or fluids given to the patient through the IV. For example, if a patient's blood magnesium levels are low, and we are giving therapeutic magnesium to increase these levels, we would want to monitor the effect of our treatment. Therefore, we would want to see the effect of magnesium infusion at a site without interference by the magnesium being infused through the IV. Therefore, we measure distal to the site of the IV, so that our blood sample represents the body's general levels magnesium, without influence from the IV line.
To treat a red and swollen IV site, first, stop the infusion and disconnect the IV line. Assess the site for signs of infection or infiltration, and apply a cool compress to reduce swelling. If there are signs of infection (such as pus or fever), notify a healthcare provider immediately. Proper documentation and monitoring of the patient's condition are also essential.
Select a site that is appropriate for intramuscular (IM) injection, typically the deltoid muscle in the arm or the gluteal muscle in the buttocks. Ensure that the chosen site is free of any abnormalities, inflammation, or infection, and follow proper sterile technique for successful IV placement.
The IV bag is suspended above the patient to allow the fluid to be gravity fed .
Glucose can be used for multiple things= 1. A site for the administration of intravenous (IV) injections or infusions 2. Fluid replacement
If you are adding a drug to IV fluid, you have to take all the aseptic precautions as you take for giving IV injection to the patient. Other wise patient will get bacteremia.
Infected IV sites may become red, inflamed, and warm to the touch. The site may also be painful. When an IV site shows signs of infection the IV should be discontinued and a new one started.
Stop the inufsion if there is one and resite Iv