An Experimental Study to Assess the Effectiveness of Normal Saline Flush Versus Heparin Flush in Maintaning the Patency of Peripheral Intravenous Cannula in the Patient Receiving Intermittent Intravenous Medication

Charu Khanna *

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

Imran Khan

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

Shamshad Alam

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

Akhtar Hussain

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

Shivam Thakur

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

Pramod Kumar

Future Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

*Author to whom correspondence should be addressed.


Abstract

Aim: The present study indicates an experimental study to assess the effectiveness of normal saline flush versus heparin flush in maintaining the patency of peripheral intravenous cannula in the patients receiving intermittent intravenous medication.

Study Design: The conceptual framework which was adopted for this study was based on Ernestine Wiedenbach’s helping art of clinical nursing theory (1964) known as prescriptive theory in a modified form.

The present study was conducted at medical unit of Sanjeevan Hospital Dariyaganj New Delhi.

Purpose: The main Objective of the study were to access the patency of intravenous cannula with intermittent saline flush and Heparin flush in patients having intravenous cannula receiving intermittent medication and compare their effectiveness.

Methodology: The research approach adopted was a true experimental approach and the research design was multiple treatment, pre-test, post-test control group design.The independent variable for the study were normal saline flush and heparin flush & the dependent variables were patency of peripheral IV cannula.

Data Analysis and Results: The data was analysed using descriptive and inferential statistics in terms of frequency, percentage and chi square.

Saline flushing and heparin flush are equally effective in maintaining the patency of peripheral IV cannula. Normal saline flusheh not only reduces the patient’s discomfort but also reduces the health care cost of patients.

A similar study can be done on patient receiving chemotherapy to see effect of saline flushing versus heparin flush on the severity of occurrence of chemotherapy induced phlebitis. onclusion:On the basis of the study findings the recommendations made for future research. A cannulaand duration of IV therapy.

Keywords: Cannula, heparin, saline, thrombosis, patients, a routine task, IV therapy, patient care, post intervention, health care


How to Cite

Khanna , C., Khan , I., Alam , S., Hussain , A., Thakur , S., & Kumar , P. (2024). An Experimental Study to Assess the Effectiveness of Normal Saline Flush Versus Heparin Flush in Maintaning the Patency of Peripheral Intravenous Cannula in the Patient Receiving Intermittent Intravenous Medication. Asian Journal of Research in Nursing and Health, 7(1), 51–62. Retrieved from https://journalajrnh.com/index.php/AJRNH/article/view/153

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References

Ashton J. et at. Effect of heparin versus saline solution on intermittent infusion device irrigation. Heart and lung Journal. 1990;19(6):608-612.

Barker P et al. Randomized clinical trial of elective re-sisting of intravenous cannula. Annals RCoil Surg England. 2004;86(4): 281-283.

Barret PJ, Lester RL. Heparin versus saline flushing solution in asm all community hospital, Hospital Pharmacy. 1990;25(2):115-118.

Bregenzer T, Conen D et al. Is routine replacement of peripheral intravenous catheter snecessary? Arces of Internal Medicine. 1988;158(2):151-156.

Campbell S G etal. “How of tenshouldintravenouscatheterisambulatorypatientsbe flushed ,Journals of Infusion Nursing. 2005;28(6):399-404.

Hephzibha A. A systemic review of the study on heparin versus normal saline solution l; 2010.

Patidar A.The hospital protocols for flushing IV line vary from no routine IV flushing with 0.9% NS solution to the use of heparin solution in India; 2013.

Knowledge and Practices related to compliance with universal precautions: A study among Staff nurses of PGIMER , Chandigarh, Nursing & Midwifery Researc Journal; 2013 DOI: 10.33698/NRF0079

Li R, Zheng Q, Chen N. et al. Heparin versus normal saline for the care of peripheral intravenous catheters in pediatrics: A meta-analysis of randomized controlled trials. BMC Pediatr. 2024;24:48.

Heparin flush vs. Normal saline flush to maintain the patency of central venous catheter among adult patients: A systematic review and meta-analysis; 2022 DOI: 10.4103/jfmpc.jfmpc_669_19

Crow S. prevention of intravascular infections way and means, Journal of Intravenous Nursing. 1996;19(4):175-181.

Dennis MM. Component IV management, Nurse Manager. 2001;32(8):21-23.

Fujita T, Suzuki T, et al. Normal saline flushing for maintenance of peripheral intravenous. Journal of Clinical Nursing. 2006;15(1):103-104

Goldberg M,S ankaran. et al. Maintaining patency of peripheral infusion devices with saline and heprinised saline”. Neonatal Intensive Care. 1999;12(1):18-22.

Goode CJ, Titler M et al. A meta-analysis of effects of heparin flush and saline flush: Quality and cost implication. Nursing Research. 1991;40(6):324.

Gupta A, Walia I. et al. Epidemiology of Infiltration and Phlebitis”, Nursing; 1988.

Heilskov J, Kleiber C. et al. Arandomized trial of heparin and saline for maintaining intravenous locks in neonates, Journal of the Society of pediatric Nurses. 1988;3 (3):111-116.

Ingram P. Peripheral Intravenous therapy: Key risks and implications forpractice. Nursing Standard. 2005;19(46):55-64.

Kathrynm M, Niesen et al. Theeffectsofheparinversusnormalsalineformaintenance of peripheral intravenous locks in pregnant women, Journals of Obstetric Gynecologic& Neonatal Nursing. 2003l;32(4):503-508.

Kaur Maninder. et al. patency of intravenous cannula with ‘Normal Saline Lock’ for patients onintermittent medication’, Nursing and Midwifery Research Journal. October 2006;2(4):132-138.

Mitsiou, Maria et al. Finding the evidence for keeping the patency in peripheral intermittent intravenous devices. Health Science Journal. 2008;2(3):121-128.

Mok E, Kwong Tk, Chan MF. A randomized controlled trial for maintaining peripheral intravenous lock in children, International Journal of Nursing Practice. 2007;13(1):33-45.

Patidar BA. Comparative efficiency of heparin saline and normal saline flushfor maintaining patency of peripheral intravenous lines, International Journal of Health Sciences and Research. 2014;4(3): 159-166

Rickard CM et al. Routine resite of peripheral intravenous deviced every 3 days did not reduce complication compared with clinically indicated resite: A randomized controlled trail” BMC Medicine. 2010;53(8).

Schultz AA, Drew D. et al. Comparison of normal saline and heparinized saline for patency of IV locks in neonates. Applied Nursing Research. 2002;15(1):28-34