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...I.V. therapy go
awry? Nursing 34(5), 56.

This article offers a comprehensive case study that is designed to inform the reader as to "pitfalls" in practice that pertain to I.V. therapy. The beginning of the article offers a detailed account of the care that Beatrice Smoltz, 64, received on November 14, 2002, after being admitted from an emergency department (ED) to a cardiac step-down unit. With the time notation of 17:30, the author notes Smoltz's symptoms and condition and the fact that she has been hospitalized frequently and treated with I.V. inotropic medications. Smoltz's doctor order I.V. dobutamine and furosemide. In the ED, patient begins receiving medication via I.V.; however, this device is accidentally pulled out during transfer and the nurses cannot locate another suitable peripheral vein in her arms and hands. Charge nurse, Caroline Scott,, RN, calls the patient's doctor, who orders state placement of a central venous catheter (CVC). However, both the ED attending physician and the general surgeon on call are busy with other patients. When...