Many people have asked us about receiving antibiotics through an IV. We thought that this post would be helpful for our community and we wanted to help shed some light on IV antibiotics. Please feel free to email us with anything else that you would like to learn about.
Depending on what type of antibiotic your doctor prescribes, they may need to be administered through an IV. Antibiotics administered through IVs are called Intravenous Antibiotics and are injected directly into the blood. They also give patients an uninterrupted dose of medication along with the ability to bypass the gastrointestinal tract. Additionally, some people require high doses of antibiotics that cannot be taken orally. IV antibiotics are the most effective way to directly receive treatments for infections in the lungs, bones and brain because they are delivered directly into the bloodstream allowing them to reach the infection site more quickly and efficiently which promotes a speedier healing time. According to the National Library of Medicine, IV administration may be used for other treatments including treatment for hormone deficiencies, chemotherapy, medicine for severe nausea resulting from chemotherapy treatments, or patient-controlled analgesia or PCA (pain).
Treatment is quite simple given a basic understanding of how to do so and with training from the hospital nursing staff. First, you assemble all the parts needed and remember to always keep a sterile environment, which means being very careful of your surroundings. Then, prepare the administrative set to connect to your IV by setting the drip rate to “off” in order to ensure no spills. There are two insertion sites on the IV package, one is for needle insertion and the other is a removable plug. Once connected, fill the drip chamber until the marked line so that you may start priming the administration line. You need to purge the air from the line with the saline solution by opening the dial on the line. It is then that you connect the IV line to the administration set to begin. The medicine can be given either with a slow infusion (over a period of time) or with a fast bolus (all at once). When the IV is placed on the IV poles, an IV “drip” is usually started. A drip is a constant flow of sterile liquid from a bag hanging above the patient. The liquid is often a saline (salt) solution. Other medications can be added to this saline solution, and infused into the blood slowly over time. Sometimes a pump is attached to the IV line and pumps liquid into the catheter in a very slow, steady fashion. Please note that these steps may vary depending on your medicine so please follow the guides your nurse or doctors provides.
Most times home health care nurses are available 24 hours a day. If you have a problem with your IV or any of the above symptoms, call your doctor or home health care agency immediately for help.
One common complaint of using IV antibiotics is the pain and irritation around the IV site. In some cases, patients require strong dosage of medication, like Vancomycin, that can burn as it runs through the veins. Thus, healthcare providers must be more careful and mindful of a patient experiencing pain and irritation at the IV site. When experiencing pain at the IV site, it’s important that the patient also specifies what type of pain is present because a poorly inserted IV can lead to a leakage of medication. When medication is leaking out of the vein, it can damage the surrounding tissues. If this happens the site can appear swollen and red, and is extremely painful, which in turn means that a new IV needs to be inserted.
Patients with poor peripheral veins often utilize something called PICC lines (Peripherally Inserted Central Catheters), where medication is administered directly to the heart. Of all of the types of central lines, this is the most commonly used. There are not many cases where PICC line users report burning of the vein because there isn’t much interaction between the medication and the peripheral veins. One of the common complaints from patients with PICC lines is the fact that treatments usually last for long periods of time. During the long duration of treatment, some patients may find it annoying to keep the PICC line in for several weeks to months at a time. PICC lines must be flushed daily, their dressings have to be inspected and changed, and patients with PICC lines must avoid getting them wet or dirty. The good thing about PICC lines is that you can be sent home with them and the medicine can be administered in your home, which decreases the number of trips to and from the hospital.
A major point to remember with any type of central line is that the insertion site requires better protection due to the higher risk of serious infection if bacteria travel up the catheter to the heart. Due to the fact that the PICC line travels directly to the heart, any type of infection that arises can pose a serious problem. However, a PICC poses less of a systemic infection risk than other central IVs, because the insertion site is usually cooler and dryer than the sites typically used for IV sites. Damp, warm environments encourage the growth of bacteria, which could reach the bloodstream by traveling under the skin along the outside of the catheter. Insertion must also be precise and handled with care, so practitioners must maintain an ascetic technique of insertion. The PICC line is inserted and then threaded through a relatively small peripheral vein which can take a less predictable course on the way to the superior vena cava and is therefore somewhat more time consuming and more technically difficult to place in some patients. PICC lines do have some risks. They can clot, break, or become dislodged. Because they sit in large blood vessels directly above the heart, any bacteria that are inadvertently introduced into the catheter go directly to the heart and are pumped throughout the body, which can lead to a dangerous infection called sepsis.
When you are receiving IV antibiotics through your veins, Care+Wear can help. Care+Wear makes an ultra-soft, antimicrobial, reusable PICC line cover to secure and help protect your PICC line. On our website, you can check out our fashionable covers with a wide range of colors including Fuchsia, Mango, Marine, Lime, Black, Violet and Slate. Not only can it help cover the PICC line while you’re not receiving treatment but the colors could help you feel more like yourself! You can learn more on PICC lines and the Care+Wear PICC line covers on our blog!
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