from coursepack continuing care of the IV site

Question 1

how often should nurse inspect he IV site (at minimum)

Answer 1

every hour

Question 2

what should you ask pt re ther IV site

Answer 2

is it painful or tender

Question 3

what do you look for at the iv site

Answer 3

redness, swelling, discharge

Question 4

what is one way of det if IV is interstitial (not flushing)

Answer 4

if you manually occlude the vein just beyond the catheter tip and if it continues to infuse it may be interstitial

Question 5

CDC recommends IV sites be rotated every

Answer 5

72-96hrs or if pt only needs one more day or so of treatment and the site is good they can have it a little longer

Question 6

how often should sterile occlusive drsgs be changed

Answer 6

every72-96hrs

Question 7

when should drsg be replaced

Answer 7

when IV catheter is changed, sites wet, the drsg loses adherence to the skin

Question 8

considerations for cleansing/chaging drsg

Answer 8

keep IV stabilied the whole time when cleaning/changing drsg to prevent phlebitis

Question 9

what should be avoided with clotted IV

Answer 9

irrigating it as it could form embolism

Question 10

how to check if iv clotted d/t lack of Iv solution

Answer 10

disconnect IV tubing and attach 3ml syringe. Pull back gently. IF no blood returns remove IV

Question 11

what do if pt has venous spasm

Answer 11

apply heat to cannulated arm

Question 12

how can you expel air from IV admin set

Answer 12

close clamp blow the air and

• roll tubing around pen
• tap the tubing to force air into drip chamber
• use sterile blunt cannula to withdraw it

Question 13

what would happen if you didnt cloe the Iv clamp when changing the IV solution bag

Answer 13

air would get stuck. remove it

Question 14

what do if chemical irritation of infusing solution occurs

Answer 14

• inc dilution of drugs in the IV solution
• reduce rate of infusion
• flush vein w isotonic sol w no additives
• use an in line filter
• if pain persists, discontinue IV and apply warm compresses

Question 15

T or F you should never pull back on an IV

Answer 15

F. if the catheter is inserted too far you can pull it back slightly and retape it

Question 16

signs and symp of phlebitis

Answer 16

warmth
tenderness or pain at site
redness or reddened streak along vein path
palpable cord vein
area of induration (hardness)
edema w thrombophlebitis

Question 17

what to apply when theres pain or tenderness at IV site

Answer 17

warm, moist compress to affected arm

Question 18

how should the catheter be taped.

Answer 18

in the directon the catheter is lying

Question 19

what should you do if you are frequently changing or manipulating the IV tubing

Answer 19

may need to use extension sets

Question 20

if pt is susceptible to developing infusion-related phlebitis you should

Answer 20

rotate the iv sites every 24h

Question 21

if youre using irritating medications or solutions eg antibiotics how should you change your IV care

Answer 21

infuse into lg vein w good volume to maximise hemodilution

Question 22

whats thrombophlebitis

Answer 22

when phlebitis progresses tot he point of vein occlusion and clot formation

Question 23

infiltration=

Answer 23

accumulation of fluid in the tissues which occurs hen catheter has been dislodged out of the vein

Question 24

what do if pt has pain, burning, itching, or unusual sensation at IV site

Answer 24

remove the IV and elevate the libm

Question 25

hematoma=

Answer 25

an effusion of blood into the subcutaneous tissue

Question 26

if there is discoloration d/t hematoma you should

Answer 26

remove Iv

Question 27

if theres swelling d/t hematoma you should

Answer 27

rest affected limb??

Question 28

if theres tenderness d/t hematoma you should

Answer 28

apply P over Ivs tie to prevent further bleeding

Question 29

hwo should you treat Iv site after removal

Answer 29

apply firm pressure after removal. at least 1 minute. Elevate.

Question 30

when the IV may have caused nerve, tendon or ligament damage when should you report to dr?

Answer 30

when theres loss of sensation or movement to an area

Question 31

if theres inc pain or C/O numbness or tingling w insertion what do

Answer 31

remove

Question 32

where should you use avoid to make sure not to damage nerve

Answer 32

wrist fold to avoid potential radial nerve damage

Question 33

what do if purulent discharge

Answer 33

obtain a swab for C&S

Question 34

if pt has pain d/t infection and you want to culture what do

Answer 34

either swab the discharge or remove catheter and using sterile scissors snip the catheter tip into sterile container

Question 35

if pt has infection at site and fever how can you aid their healing

Answer 35

warm compress to affected limb. assess, inform dr, record

Question 36

no notes on inadvertant arterial occlusion because we dont insert them

Answer 36

end