IV Access

Question 1

why would you want IV access

Answer 1

Deliver fluid
Deliver medications/IV contrast
Give Nutrients/electrolytes
Deliver blood products/draw blood
Hemodialysis

Question 2

what is gauge goal for fluid delivery

Answer 2

at least 20 preferably 18

Question 3

how long can you use a peripheral IV

Answer 3

no more than 3 days

Question 4

T/F-after you insert a peripheral IV you can take blood samples at any time

Answer 4

FALSE-must be when you first put it in, all other times it is contaminated

Question 5

what ype of access do you use for Vasopressors, chemotherapy, parental nutrition (TPN)

Answer 5

central venous catheters

Question 6

how long can a PICC line be in for

Answer 6

15-30 days

Question 7

order of preference for PICC

Answer 7

Basilic
Brachial
Cephalic
Median cubital vein

Question 8

term of use with tunnel and nontunnel

Answer 8

nontunnel- short term

tunnel- low term, lower rate of infection

Question 9

most preferred for central venous catheter

Answer 9

subclavian

Question 10

what do you use a PICC line for and how long

Answer 10

IV antibiotics, blood draws, nutrition/medications

Couple of weeks to couple of months

Question 11

what is non tunneled and tunneled used for

Answer 11

*Chemotherapy, frequent blood draws, CVP monitoring (determine how much fluids a patient needs), shock (rapid infusion of blood/fluids), hemodialysis

Question 12

Implantable venous access port uses

Answer 12

Uses same as other central venous catheters

• Chemotherapy
• Long term antibiotic use, fluid therapy, blood sampling