Ez- IO Flashcards
what is the yellow size for IO
above 40kg and excessive tissues
what is the blue size for IO
25mm
above 4okg
what is the pink size for IO
15mm
3-39kg
what is the equipment for IO access
EZ-IO device • EZ-IO needle • Swab • Sharps bin • Clinical waste bag • 10ml syringe/flush • Three-way tap • Luer-lock attachment • IO Dressing • PPE
what are the contra indications for an IO
prosthetics significant trauma to bone IO or io within the last 48 hours infection excessive tissues unable to identify landmarks
what are the indications for IO
when iv access is extremely difficult or impossible for drug therapy and fluid therapy
any time a patient is time cricitcal truma cardiac arrest respiratory emergencies systemic emergancies
where is the distal tibia
ankles
used in larger patients and unable to access others
where is the proximal tibia
bellow the knee
used in unresponsive patients and unable to landmark other sites
where is the distal femur and when is it used
children only
top of the knee
where is the proximal humerous
shoulder
preferred site for adults
used on awake, responsive patients and its less painful
what are the sites for ez-io
proximal humerous
distal femur
proximal tibia
distal tibia
what is the process if EZ-IO
- Identifies indication
- Introductions, explain procedure, gain consent
- Site considerations
- Optimal conditions for attempt
- IPC/PPE
- Arrange and check equipment – prime luer-lock and
three-way tap - Identify site
- Disinfect
- Choose needle size and attach to driver
- Insert needle at 90 degrees until bone is met - ensure
5mm mark is visible - Engage driver using slight pressure until a loss of
resistance is felt - Unscrew and remove stylet and dispose of sharps
- Aspirate slightly – should see blood
- Flush with saline rapidly. Use 10ml+
- Attach primed luer-lock and three-way tap
- Cover with dressing
- Label and document
