IV, IM + EZIO Flashcards
What is EZIO?
Intra Osseous access - into the bone
What GCS is the threshold to consider EZIO?
GCS 9 and deteriorating
What are examples of indications for EZIO?
Unable to gain IV access after 2 attempts
Clinician feels attempting IV access futile
When someone is peripheral shut down, mainly peadiatrics
What are examples of contraindications of EZIO access?
Conscious and GCS 15
Unable to locate land marks
If Pt has had previous EZIO insertion within 48 hours, same site cannot be used again.
If Pt has fracture/open fracture above the access site
Sites for EZIO access?
Proximal humorous
Proximal tibia
In paediatrics, distal femur
Needle sizes of EZIO access
15mm - YAS don’t carry
25mm - For paediatrics and females
45mm - For adult males
Names of veins in arm
Basilic vein
Cephalic vein
Hand access for IV
Metacarpal veins
Largest to smallest gauges
14 - 16 - 18 - 20 - 22 - 24
Higher gauge = smaller needle
Each cannula has what written on the packet
hint - L/min
The specific flow rate of that cannula e.g. Green = 90ml/min, 1L = 11 mins
On which arm should PPCI patients be cannulated?
Left arm
Why do certain drugs require certain cannula sizes
The drugs have different sizes, drugs such as glucose are a larger molecule size so require a larger cannula
What are the 5 rights?
Right Patient
Right medication
Right dose
Right route
Right time
What site is preferred for paediatric IM injections?
Thigh
What site is preferred for paediatric IM injections?
Thigh
