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201B Exam 4 > IV Administration > Flashcards

IV Administration Flashcards

1
Q

what are four basic categories of knowledge for nursing students related to IV sites?

A
  1. Know TYPE of IV SOLUTION
  2. Know RATE of IV infusion
  3. Know type and location of IV ACCESS SITE
  4. Know CONDITION of IV site
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2
Q

What is a CVC?

A

central venous catheter

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3
Q

what is a PIV?

A

peripherally inserted venous line

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4
Q

a nurse is discontinuing a peripherally insert it venous line. They remove the tape and withdraw the catheter noting that the catheter is jagged at the end. Which of the following complications has occurred?

a infiltration
b toxicity caused by a desiccant
c air embolism
d catheter breakage

A

d catheter breakage

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5
Q

What can be administered through an IV catheter?

A

Fluids and medicines

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6
Q

how long are saline locks good for?

A

It depends on the facility, but only for a few days

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7
Q

why would an IV have a positive pressure end?

A

To prevent blood from flowing back into the catheter and potentially causing a blockage (occlusion) by creating a constant, slightly pressurized force against the backflow.

This is especially important when the IV line is not being actively used

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8
Q

how long can PICC lines be in?

A

It can be in for weeks or months

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9
Q

how long can a midline catheter be in?

A

1-4 weeks

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10
Q

IV catheters are sized by their __________.

A

diameter

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11
Q

the smaller the diameter of an IV catheter the ________ the guage

A

larger

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12
Q

the smaller the gauge more ________ fluid can be delivered

A

rapidly

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13
Q

what are PICC lines used for?

A

prolonged IV antibiotic therapy, parenteral nutrition, and chemotherapy

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14
Q

a PICC line goes all the way to the ___________

A

superior vena cava

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15
Q

a midline catheter goes all the way to the _________

A

larger vessels of the upper arm for better hemodilution

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16
Q

what are 6 rationals for IV therapy?

A
  1. NPO or taking PO fluids poorly (GI sx)
  2. pre-op
  3. post-op
  4. med therapy
  5. fluid loss via drains/tubes
  6. fluid deficit/nutrition deficit/blood loss
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17
Q

how many checks do we do before giving IV fluids?

A

3

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18
Q

check 1 consists of?

A
  1. review of IV fluids in EMAR for appropriateness
  2. withdraw IV fluids from the dispense system/CHECK EXPIRATION DATE
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19
Q

what does check 2 consist of?

A
  1. check IV fluids to EMAR
  2. examine solution
  3. discuss w/ instructor, ID patient, scan: check name, DOB and allergies
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20
Q

what does check 3 consist of?

A

final check of fluids

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21
Q

what are the six rights of IV fluid administration?

A
  1. patient
  2. solution Including additives “drug”
  3. rate “dose”
  4. time
  5. route
  6. documentation
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22
Q

IV fluids are always per ________

A

MD orders

23
Q

name some common IV solutions

A

0.9% NS
0.45% NS
D5W
D5/NS
D5/0.45% NS
D5LR
LR

24
Q

name 3 isotonic solutions

A

0.9%NS
lactated ringers
D5W (hypotonic in body)

25
Q

name 3 hypotonic solutions

A

0.25%NS
0.45% NS
2.5% dextrose

26
Q

name 3 hypertonic solutions

A

D5 NaCl
D5 in Lactated ringers
D5 0.45% NaCl

27
Q

what solutions can a 1st semester student NOT administer?

A

TPN
lipids
albumin
blood
K-riders (or any combo of KCL >40mEq/L

28
Q

what is a bolus?

A

a single dose of a medicine given all at once

29
Q

if there is a new order of an IV, what us the goal for time?

A

within 1 hour

30
Q

when is the right time to hang an IV bag?

A

IV nearly empty
change in orders
after 24 hrs hanging

31
Q

a toddler is receiving continuous IV fluids. Which of the following precautions are recommended for this age group?

a. IV house
b. No tourniquet
c. EID
d. Metacarpal or great saphenous veins (legs)

A

a. IV house
c. EID
d. Metacarpal or great saphenous veins

32
Q

what is an EID?

A

Electronic infusion device

33
Q

Y-site ports must be cleaned how?

A

with alcohol for 10-15 seconds

34
Q

When are the steps to prime tubing?

A
  1. Open package and close roller clamp
  2. Spike IV bag
  3. fill drip chamber halfway
  4. Slowly release clamp and prime tubing
  5. Re-clamp when primed
  6. Insert to being in pump/ settings
  7. Clean saline lock
  8. Connect to patient
  9. Set pump settings
  10. Press “run”
  11. Check for drips in chamber and reassess site
35
Q

what are two methods for the regulation of infusion rate?

A

Mechanical pumps
Gravity

36
Q

why are mechanical pumps preferred?

A

Able to set volume to be infused, rate (mLs/hr)

37
Q

describe it gravity IV pumps

A

Roller clamp used to control speed

Calculate number of drops per minute

Use a very infrequently; OR, ER

38
Q

Why do IV alarms go off?

A

Air alarm

Occlusion

Volume infused completed

39
Q

what are the advantages of pumps?

A

Accurately deliver set rate

Alerts us if problems occur

Keep track of volume infused

40
Q

what should you tell patient to look for at the IV site?

A

Redness
Swelling
Pain
Leaking

41
Q

what are the three windows of information on an IV pump?

A
  1. Volume to be infused
  2. Rate of infusion
  3. Volume infused (tracked)
42
Q

what are types of occlusions?

A

Human error because clamp is still closed

Bent or kinked tubing

Positional IV bend of arm

Infiltration IV is no longer patent

43
Q

when doing an IV site assessment the IV dressing should be _________

A

Clean
Dry
Secure
Occlusive over site
Intact

44
Q

when assessing an IV site normal things to see are________

A

No redness
No swelling
No tenderness
No leaking

45
Q

what are potential complications related to an IV?

A

Infection
Leaking
Phlebitis
Extravasation
Infiltration

46
Q

what is phlebitis?

A

Inflammation of vein

Red, cordlike vein

47
Q

what is extravasation?

A

Death of tissue from what is running in IV

48
Q

what is the nurses role regarding IV infusion?

A

Monitor infusion at least every two hours

Watch for complications

Patient teaching

Maintain a sepsis

Cleaning hubs of IV tubing well/ use Curos caps

49
Q

what are curos caps?

A

IV caps with alcohol included for disinfection

50
Q

what to document after an IV is discontinued?

A

IV discontinued, catheter intact, hemostasis achieved

no redness, swelling or pain

51
Q

what are the 12 steps to changing an IV dressing?

A
  1. Equipment
  2. Wash hands
  3. Assess site
  4. Gloves
  5. Hold catheter
  6. Remove dressing and tape
  7. Clean site
  8. New transparent dressing
  9. Label
  10. Remove gloves
  11. Wash hands
  12. Document
52
Q

when discontinuing a peripheral IV apply pressure to the site ________ catheter is removed

A

after

53
Q

during a peripheral IV removal apply dressing to site when?

A

once hemostasis has been achieved

201B Exam 4 (3 decks)

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