CVAD, Picc, IV SKILLS Flashcards
peripheral iv needs to be flushed with what size syringe
3-5 mL
why?
the smaller the syringe the greater the PSI
what is the size and length of peripheral iv therapy
Short PIVCs range in length from ¾ inch to 1¼ inch, with gauge sizes from 26 gauge (the smallest) to 14 gauge (large bore)
Peripheral IV: Avoid the use of veins in the lower extremities of adults, if possible, because of an increased risk for deep vein thrombosis (DVT) and infiltration.
peripheral catheters are used for?
short-term use (e.g., fluid restoration after surgery and short-term antibiotic administration).
Central lines are more effective than peripheral catheters for
administering large volumes of fluid, PN, and medications or fluids that irritate veins.
how often should you do a dressing change for a transparent dressing on a CVAD?
every 7 days unless soiled
how often should you do a dressing change for a guaze dressing on a CVAD?
every 48 hours or 2-3 days or when soiled
is inserting CVAD a sterile procedure?
yes, a sterile technique
does piggy back hang higher or lower than primary?
higher
what should you do before you give meds through an iv?
check for patency and swelling, redness, tenderness, warmth, cold, (infiltration or phlebitis)
should you wash your hands before you go gather your equipment?
yes
if it is the first time giving a med to a patient, what should you run the iv infusion on?
the longest time, stay with pt to make sure know side effects and you may also do a test dose like w/ iv iron
how do you decrease risk of air embolism
priming tube, making sure no air bubbles, flushing b4 and after, and trendelenburg when putting in cvad
if you are doing a compatible iv push med with a continuous infusion running, do you flush?
no, only if incompatible.
your iv piggyback connects to the port
closest to the bag
your iv push connects closest to the port
to the pt
when flushing a peripheral iv, what size syringe do you use?
3-5 ml
the smaller the syringe the greater the pressure
when flushing a cvad, what size syring do you use?
10 ml or larger
the larger the syringe the lower the pressure
can you use heparin flush without an order?
no
do you have to wear gloves for ivpb or ivpush?
no, UNLESS only INT line
what are reliable sources for information for iv administration
micromedex
online resources
iv med book
pharmacist
can you give iv meds with blood?
NO! you would need to start a new IV.
blood is only compatible with NS
TPN is only compatible with?
lipids
why do we use cvads??
answer is 66.7
answer is 11
answer is 8
answer is 5u/100u x 500 ml ==25
Make sure you teach them to avoid heavy lifting
