15. IV Placement Flashcards
indications for IV
sedation
GA
venous blood sampling
IV med infusion
blood transfusion
contrast infusion
IV Contraindications
edema
sclerosis
phlebitis
thrombosis
ipsilateral fistula
cellulitis
IV relative contraindications
ipsilateral radical mastectomy
burns
acute/recent fracture
IV early complications
bruising
infiltration
air embolism
IV late complications
phlebitis
infection
nerve damage
thrombosis
radial side veins
median cubital
cephalic
ulnar side veins
median antebrachial
basilic
foot veins
greater saphenous vein
IV kit components
tourniquet
alcohol
IV catheter
J-loop w/clave
saline flush
tape
tegaderm
gauze
IV bag w/primed tubing
increased IV gauge # size
decreased flow rate
increased guage radius
increased flow rate
24g
peds
yellow
22g
induction/fluids
blue
20g
blood products
pink
`18g
antecubital fossa
minimum size for CT contrast
green
16g
resuscitation level
black
detriment to 16g needle
easy to accidentally give a large volume of fluid inadvertently
lower extremity medication delivery speed
slower
torniquet
promotes venous congestion
best site for IV
straight veins
crows foot
help for finding vein
pump fist
lower limb below heart
light tapping
heat packs
nitroglycerin cream
vein finder
3 options to clean skin before IV
alcohol
chloraprep
iodine
IV numbing options
1% lidocaine
EMLA cream
Ethyl chloride
sucrose (infants)
J-tip (peds)
downside to local anesthetic for IV
skin wheel could squash vein
lidocaine for IV prep
1% lido
Tb syringe
27-30g needle
bicarb if needed
EMLA cream (IV)
lotion w/lido
eutectic mixture
1 hr onset
Ethyl chloride (IV)
numbs skin by cooling
traction during IV placement
prevents veins from rolling
IV insertion angle
0-10 degree to skin
(parallel/flat to vein)
what side of the catheter do you occlude during IV placement??
proximal end
when do you release the occlusion during IV placement?
after saline lock is hooked up
center the tegaderm over what part of the IV
the skin insertion site
J-loop (IV)
helps not pull directly on catheter
method to disconnect IV without removing IV catheter
medications that cause injury with IV extravasation
Calcium chloride (10%
Crystalline Amino Acids (dextrose 10%)
Crystalline amino acids (dextrose 25%)
Daptinomycin
Dextrose 10%
Dextrose 25%
Diazepam
Dobutamine
Dopamine
Epinephrine
Mithramycin
Neosynephrine
Nitroglycerine
Norepinephrine
Parental Nutritional Solutions
Phenytoin
Potassium
Sodium Thiopental
Tetracycline
Vasopressin
