Advanced Paramedic Skills IV Therapy Review First Equipment
- Slides: 8
Advanced Paramedic Skills IV Therapy
Review First • • • Equipment Needed for IV Starts Flow dynamics IV Catheter types –Gauges, types etc Trauma and IV bolus Review of procedure of insertion IV Starts? ?
Write down all the equipment needed to start an IV! • Class exercise
Flow Dynamics – Laminar Flow • Poiseuilles Equation F = ΔP л r 8 n. L
Catheter Selection • Various IV Catheter Sizes • Selected for different uses • 14, 16, 18 larger gauge catheter , minimum for blood • 20, 22, 24 smaller and peds • Vein selection also • Lets look at them- put a tourniquet on each other and look at veins on your arms and hands –what size could they take
Trauma and IV Bolusing • Trauma is a specific challenge to IV therapy - why? • Selection of IV catheters • Bolus is normally 20 cc/Kg initially and then can repeat if – BP remains low – No signs of CHF • 3: 1 Rule – what stays intravascular
Lets do a race! 250 1000 m. L • Set up a litre bag to Type 24 ga – 24 ga 22 ga – 22 ga 20 ga – 20 ga 18 ga 14 ga – 18 ga 14 ga pressure – 14 ga with pressure bag attached • With a stop watch, open all up and measure how long to run 250 ml and whole bag • Make a chart showing all times
For Next Week Finals!!! • 22 year old man, hit a tree on a bright sunny day. He is unconscious and GCS 8. What are your treatment priorities? What investigations or assessments are important in this case?
