Intraosseous Infusions

Question 1

Flow rates of intraosseous infusion?

Answer 1

Tibia – 2-4 L/hr
Proximal humerus – 6-8 L/hr

18g peripheral line – 6L/hr

Question 2

Cannot infuse these via intraosseous infusion?

Answer 2

#Chemotherapy
#TPN
#Hypertonic saline

Question 3

When to use interosseous exes in cardiac arrest?

Answer 3

If peripheral IV access fails

Question 4

Contraindications to intraosseous infusion?

Answer 4

#Fracture at intended site
#Infection at the incision site
#Unable to palpate anatomic landmarks
#Previous orthopedic procedure at that site (IO in last 24 hours, prosthesis)

Question 5

Speed to central circulation of intraosseous infusion versus peripheral veins versus central veins?

Answer 5

Intraosseous infusion = central vein > peripheral vein

Question 6

Tibial insertion site?

Answer 6

Proximal - Medial to tibial tubercle

Distal - three fingerprints above malleolus

Question 7

Humorous insertion site?

Answer 7

Proximal tubercle