Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Surg 1 > Intravenous Therapy > Flashcards

Intravenous Therapy Flashcards

1
Q

purpose for IV therapy

A

meds
fluids
blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

IV fluid is also called

A

Parentral fluid therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why are allergies more concerning when in IV

A

medication directly into blood and reaction can happen much quicker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

where should we start an IV

A

start low because if an issue happens we can work proximal but we cannot work distal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

some reasons we cannot use an arm for IV

A

shunt, mastectomy, open wound, blood clot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

why give IV fluids

A

dehydrated, NPO, nasogastric suction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when should we check the IV

A

every time we are in the room
issues can happen very quickly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how do we check for patency

A

pull back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are we checking the IV site for

A

redness, warmth, swelling, tender, cool, pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

why should we always ask for allergies

A

sometimes someone forgot to put it in the chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what should we consider when preparing to administer IV therapy

A

type of fluid/medication and vein
age, size, and activity level
right or left handed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

should we wear gloves and do hand hygine before preparing to do IV

A

yes, we are breaking the skin and could cause infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why should leg veins be used or not used

A

rarely be used
poor circulation and if there were a complication and a wound developed we can have poor wound healing (especially in elderly and diabetic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where else should we avoid starting an IV

A

veins distal to a previous IV infiltration or phlebitis area
sclerosed or thromboses veins
edema
infection
severe scaring
skin break down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Complications of IV therapy

A

fluid overload
air embolism
septicemia
infiltration
extravasations
phlebitis
thrombophlebitis
hematoma
clotting
obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Infiltration

A

Unintentional administration of non vesicant solution of medication to surrounding tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how will an infiltration appear

A

edema around insertion site
Leakage of IV solution around site (dressing may appear wet)
Discomfort and coolness in the area of infiltration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what do we do if infiltration occurs

A

IV is stopped
IV catheter is discontinued
New site proximal to infiltration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

any nursing implementations for infiltration

A

warm compress- isotonic/non caustic
cool compress- hypertonic/ caustic
elevated to reduce edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how do we prevent infiltration

A

ongoing close monitoring of site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

extravastion

A

inadvertent administration of a vesicant or irritant solution or medication into surrounding tissue

22
Q

what are some agents that can cause extravasation

A

vasopressors, potassium, calcium, chemo

23
Q

how will the extravasation sight feel and look

A

pain, burning, redness at sight

blistering, inflammation, necrosis of tissue can occur

24
Q

what will we do if we notice extravasation

A

stop infusion immediately
contact MD
LEAVE IV IN

25
Q

why would we leave the IV in for extravasation

A

because if there is an antidote available we can administer it directly to affected site

26
Q

who are some patients and why might they be at risk for extravasation

A

elderly: poor wound healing
comatose/anesthized: cannot tell us what they are feeling
diabetics: poor wound healing
Peripheral vascular/cardiovascular disease: poor circulation

27
Q

Where are we limited to starting an IV after extravasation

A

cannot use that extremity, must use another arm or leg

28
Q

phlebitis

A

inflammation of a vein
mechanical
chemical
bacterial

29
Q

chemical phlebitis

A

caused by irritating medication or solution

30
Q

mechanical phlebitis

A

long periods of IV
catheters flexed
catheters are larger than vein lumen
poorly secured catheter

31
Q

bacterial phlebitis

A

poor hand hygine
lack of aseptic technique

32
Q

symptoms of phlebitis

A

redness, pain, tenderness at site and along the vein

33
Q

what is the treatment for phlebitis

A

discontinue IV, restart at another site

34
Q

nursing interventions for phlebitis

A

warm, moist compress

35
Q

how do we prevent any IV complication

A

frequent and constant assessment

36
Q

Clotting/obstruction

A

blood clots may form in the IV line

37
Q

why might Clotting/ obstruction happen

A

kinked IV, very slow infusion rate, empty bag, failure to flush IV line

38
Q

how do we prevent clotting or obstruction

A

not allowing IV solution to run dry, flushing after intermittent infusions, taping the tubing to prevent kinks, maintain adequate flow rate

39
Q

What do we NOT do if clotting/obstruction occurs

A

do not raise the infusion rate or solution container
don not aspirate the clot

40
Q

what do we do if clotting/obstruction occurs

A

discontinue infusion, restart at new site

41
Q

Thrombophlebitis

A

Presence of clot plus inflammation in the vein

42
Q

How does Thrombophlebitis present

A

redness, pain, warmth, swelling around insertion and along the path of the vein, immobility of the extremity, discomfort, swelling, fever, malaise, leukocytosis

43
Q

what do we do if Thrombophlebitis occurs

A

discontinue IV
apply cold compress followed by warm compress
elevate extremity and restart in other extremity

44
Q

Hemotoma

A

blood leakage into the tissues surrounding the IV insertion

45
Q

how might a hematoma present

A

ecchymosis (bruise color)
immediate swelling at site, leakage of blood at insertion site

46
Q

treatment of a hemotoma

A

discontinue the IV
light pressure with sterile dry dressing
apply ice for 24 hours to the site to avoid extension of hemotoma
elevlate extremity
restart IV in other extremity

47
Q

who might be at risk for hemotoma

A

elderly and patients on blood thinners

48
Q

removable of IV is associated with 2 complications

A

bleeding
catheter embolism

49
Q

how do we prevent/ handle bleeding

A

dry sterile pressure dressing should be held over the site as the catheter is removed

50
Q

catheter embolism

A

compare the length of the catheter to an actual catheter, occlude the vein above the site, notify MD

51
Q

should we use scissors to remove IV

A

no
potenital to severe the catheter

Med Surg 1 (47 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions