IV Catheters Flashcards
Over the needle
Most commonly used Short term (24-36 hours)
Butterfly
Needle connected to extension tubing
Short term, supervised use only
Through the needle
Most commonly: Jugular catheter
Long term: 4-5+ days
24ga
less than 5lbs
22ga
5-20lb
20ga
20-70lb
18ga
greater than 70lbs
Jugular catheter brand names
Intrafusor
Venocath
Intracath
Jugular catheter restraint & prep
Sternal or lateral recumbency
Aseptic preparation & sterile placement
Signs of phlebitis
Inflammation of vein Heat Redness Pain Inability to flush catheter Thick, ropey vein proximal to catheter
Heparinized Saline Flush
5,000 IU heparin to 1L saline
Q 2-6 hours
After removing the IVC, what should be placed and how long?
Pressure bandage; remove within 1 hour
Once IVC is place, how can you tell you are in the vessel?
Gently pulse the flush syringe and palpate the vein – should feel the vein pulse
What should you look for when removing the IVC?
Make sure the whole cath was removed and no pieces were left in the pt.
When placing an IVC, where should you start?
Distal vein