IV Infusions

Question 1

how often should an IV be checked

Answer 1

every 1-2h

Question 2

what should be checked when looking at an IV

Answer 2

patency of device
pain, swelling, heat, redness,
type/amount of fluid being infused,
drip rate,
volume infused on pump

Question 3

what should be monitored when a patient is on an IV

Answer 3

I and O
body weight
skin turgor
mucous membranes

Question 4

what should patients be educated on

Answer 4

symptoms of infiltration
phlebitis
occluded infusion device

Question 5

what should be assessed when looking at an IV

Answer 5

pain at IV site

Question 6

how often should an IV be changed

Answer 6

every 72h

Question 7

how are drops per min calculated

Answer 7

total infusion volXdrip factor / total time of infusion in mins

Question 8

what prevents bolus infusion

Answer 8

anti free flow valve

Question 9

how is infusion rate calc

Answer 9

total infusion in ml/hrs of infusion

Question 10

what should patients be observed for when on IV infusions

Answer 10

fluid excess or deficit

Question 11

what should be reported at end of a shift

Answer 11

rate of infusion and volume remaining

Question 12

piggyback infusion

Answer 12

• 25-50mL bag/syringe that connects to upper Y-port of infusion line or IV access
• micro or macro drip
• set higher than primary infusion

Question 13

volume control admin infusion

Answer 13

• 50-150 mL
• attaches just below primary infusion bag
• simular to regular infusion

Question 14

mini infusion pump

Answer 14

• “syring pump”
• battery operated
• infused in very small amounts (5-60mL)

Question 15

pediatric IV infusion considerations

Answer 15

1. more vulnerable to alterations in fluid balance
2. monitor intake/output
3. flush solutions vary with age and size
4. record blood draws on intake/output

Question 16

gerontological IV infusion considerations

Answer 16

1. at greater risk for drug toxicity
2. monitor response for IV
3. at risk for fluid volume overload

Question 17

home care IV infusion considerations

Answer 17

1. educate about steps of medication administration
2. have client’s return demonstration
3. educate for signs and symptoms of complications

Question 18

what does CATS PRRR mean?

Answer 18

compatible
allergies
tubing
site check
pump safety check
right med
release clamps
return to asess patient

Question 19

when putting med through a line what should they never be mixed with

Answer 19

blood
blood products
parental nutrition
insulin

Question 20

what direction should IV lines be routed toward

Answer 20

the head