IV

Question 1

indications

Answer 1

Hemodynamically unstable patients and/ or are in need of IV fluids or medication

Question 2

Contraindications 1

Answer 2

Avoid cannulation in a Dialysis shunt or fistula

Question 3

Contraindications 2

Answer 3

Avoid cannulation on affected side of a mastectomy / lymph surgery in patients.

Question 4

Procedure 1

Answer 4

Standard Precautions/PPE

Question 5

Procedure 2

Answer 5

Select IV Male adapter plug (MAP) or select the proper I.V. fluid for administration.

Question 6

Procedure 3

Answer 6

Inspect solution for packaging sterility, expiration date, color and clarity as applicable.

Question 7

Procedure 4

Answer 7

Select I.V. Administration Set – macro drip (10gtts or 15 gtts).

Question 8

Procedure 5

Answer 8

Select largest diameter catheter that that will fit the vein chosen. (18g-20g will fit most adults)

Question 9

Procedure 6

Answer 9

Assemble all of the necessary equipment and supplies.

Question 10

Procedure 7

Answer 10

Clamping the I.V. Administration Set and attach it to the bag of solution, and squeezing the drip chamber to fill approximately half way and then purge air from the tubing.

Question 11

Procedure 8

Answer 11

Apply tourniquet and select the most suitable distal puncture site. (TQ 2 min max.)

Question 12

Procedure 9

Answer 12

Prepare IV site with alcohol or iodine wipe disinfecting with overlapping concentric circles.

Question 13

Procedure 10

Answer 13

Stabilize the vein by applying distal pressure and tension to the point of entry.

Question 14

Procedure 11

Answer 14

Insert catheter BEVEL UP (down in infants and small children).

Question 15

Procedure 12

Answer 15

Advance needle and catheter until blood is visualized in the FLASH CHAMBER, then advance approximately .5 cm further into the vein.

Question 16

Procedure 13

Answer 16

Slide the catheter over the needle and into the vein while stabilizing the needle.

Question 17

Procedure 14

Answer 17

Release tourniquet then remove needle disposing in an approved sharps container.

Question 18

Procedure 15

Answer 18

Apply pressure on the proximal end of the catheter to stop escaping blood.

Question 19

Procedure 16

Answer 19

Attach tubing or male adapter plug (MAP).

Question 20

Procedure 17

Answer 20

Open drip chamber on tubing and verify quality of fluid flow and set desired flow rate.

Question 21

Procedure 18

Answer 21

Examine I.V. site for infiltration and Secure I.V. catheter and anchor I.V. tubing.

Question 22

Procedure 19

Answer 22

Monitor patient and record solution used, catheter size, location of site, volume infused