15. IV Placement

Question 1

indications for IV

Answer 1

sedation
GA
venous blood sampling
IV med infusion
blood transfusion
contrast infusion

Question 2

IV Contraindications

Answer 2

edema
sclerosis
phlebitis
thrombosis
ipsilateral fistula
cellulitis

Question 3

IV relative contraindications

Answer 3

ipsilateral radical mastectomy
burns
acute/recent fracture

Question 4

IV early complications

Answer 4

bruising
infiltration
air embolism

Question 5

IV late complications

Answer 5

phlebitis
infection
nerve damage
thrombosis

Question 6

radial side veins

Answer 6

median cubital
cephalic

Question 7

ulnar side veins

Answer 7

median antebrachial
basilic

Question 8

foot veins

Answer 8

greater saphenous vein

Question 9

IV kit components

Answer 9

tourniquet
alcohol
IV catheter
J-loop w/clave
saline flush
tape
tegaderm
gauze
IV bag w/primed tubing

Question 10

increased IV gauge # size

Answer 10

decreased flow rate

Question 11

increased guage radius

Answer 11

increased flow rate

Question 12

24g

Answer 12

peds
yellow

Question 13

22g

Answer 13

induction/fluids
blue

Question 14

20g

Answer 14

blood products
pink

Question 15

`18g

Answer 15

antecubital fossa
minimum size for CT contrast
green

Question 16

16g

Answer 16

resuscitation level
black

Question 17

detriment to 16g needle

Answer 17

easy to accidentally give a large volume of fluid inadvertently

Question 18

lower extremity medication delivery speed

Answer 18

slower

Question 19

torniquet

Answer 19

promotes venous congestion

Question 20

best site for IV

Answer 20

straight veins
crows foot

Question 21

help for finding vein

Answer 21

pump fist
lower limb below heart
light tapping
heat packs
nitroglycerin cream
vein finder

Question 22

3 options to clean skin before IV

Answer 22

alcohol
chloraprep
iodine

Question 23

IV numbing options

Answer 23

1% lidocaine
EMLA cream
Ethyl chloride
sucrose (infants)
J-tip (peds)

Question 24

downside to local anesthetic for IV

Answer 24

skin wheel could squash vein

Question 25

lidocaine for IV prep

Answer 25

1% lido
Tb syringe
27-30g needle
bicarb if needed

Question 26

EMLA cream (IV)

Answer 26

lotion w/lido
eutectic mixture
1 hr onset

Question 27

Ethyl chloride (IV)

Answer 27

numbs skin by cooling

Question 28

traction during IV placement

Answer 28

prevents veins from rolling

Question 29

IV insertion angle

Answer 29

0-10 degree to skin
(parallel/flat to vein)

Question 30

what side of the catheter do you occlude during IV placement??

Answer 30

proximal end

Question 31

when do you release the occlusion during IV placement?

Answer 31

after saline lock is hooked up

Question 32

center the tegaderm over what part of the IV

Answer 32

the skin insertion site

Question 33

J-loop (IV)

Answer 33

helps not pull directly on catheter
method to disconnect IV without removing IV catheter

Question 34

medications that cause injury with IV extravasation

Answer 34

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