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NURS 366 > IV Insertion > Flashcards

IV Insertion Flashcards

1
Q

What are the things that an IV order must contain?

A

Solution, Rate, Route, Time Frame

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2
Q

What are important things to review for a patient’s assessment prior to IV insertion?

A

Physical findings (i.e. mastectomy or fistula), lab values, age, mobility, skin, allergies

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3
Q

What supplies are needed to start an IV?

A

gloves, tape, dressing (tegaderm), drip set, gauze, tourniquet, alcohol prep, IV catheter, saline flush, connector tubing, IV fluid

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4
Q

When can an IV in the foot be placed on an adult patient?

A

When there are doctor’s orders for it

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5
Q

What are the 4 parts of an IV catheter?

A

Stylet, catheter, flash chamber, safety device

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6
Q

What are the 5 hand veins?

A

digital veins, metacarpal veins, dorsal veins, cephalic veins, basilic veins

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7
Q

What are the characteristics of a good vein?

A

superficial, smooth, bouncy, no pulsation, not close to a joint, skin is normal

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8
Q

What is it important to have a smooth vein when inserting an IV?

A

lumpy veins have more valves

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9
Q

What can hard veins be an indicator of?

A

sclerosis

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10
Q

What are some vein dilation techniques to use when starting an IV?

A

Tapping, rubbing, moist heat, gravity, fist clenching

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11
Q

Which hand should you use to anchor a vein?

A

Non-dominant hand

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12
Q

How should the bevel of the needle be positioned for insertion?

A

Bevel should be up

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13
Q

Steps of preparation for IV catheter insertion

A

Prep all supplies, identify the patients with 3 identifiers, position the patient and yourself, find vessel, use alcohol wipe to prep area, position the angiocatheter, anchor the vein

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14
Q

Where should a tourniquet be placed in reference to the IV site?

A

6 inches above site

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15
Q

What is the diameter of the swab site that should be wiped with prep before IV insertion?

A

Around 3 inches in diameter

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16
Q

When can a site be touched after prepping the IV site with Chlorhexidine?

A

never

17
Q

What is an indicator that the needle has entered the vessel?

A

flashback in hub and “flash chamber”

18
Q

4 techniques that can be used to advance the cannula

A

One-step technique, pushing cannula off stylet, “floating” cannula into vein, two-handed technique

19
Q

What should be on the label of an IV dressing?

A

date, time, initial, size of catheter

20
Q

What should be done after advancing the IV catheter?

A

hold IV catheter steady, remove stylet, attach T-connector or tubing, anchor IV with tape, cover IV with transparent dressing, Label IV dressing, Flush IV tubing and catheter

21
Q

What needs to be documented following IV insertion?

A

time/date of insertion, location of site, gauge/length/type of catheter, Number of attempts & complications, type of dressing, States IV site, client response to procedure

22
Q

What are indications that IV catheter insertion is unsuccessful?

A

loss of blood return, severe pain, vein puffs up during flushing (infiltrates), no blood return

23
Q

What may have happened if there is a loss of blood return?

A

may have pierced through the vein

24
Q

What may have happened if the patient is in severe pain following IV insertion?

A

the IV may be in surrounding tissue or it may have pierced a nerve

25
Q

If there is no blood return after inserting an IV what may have happened?

A

the needle may have missed the vein

26
Q

Why should an IV not be placed in a pulsating vessel?

A

The vessel may be an artery

27
Q

How many IV attempts can be done before someone else needs to be brought in to start the IV?

A

2

28
Q

What could be the cause of redness, swelling, and warmth at the IV insertion site?

A

phlebitis

29
Q

What could be the issue if there is swelling, but it is cool around the IV site?

A

infiltration

30
Q

What could be the issue if the IV site has no redness, no swelling, is dry, but patient has SOB, puffy feet, and palpitations?

A

hypervolemia

31
Q

What could be the issue if the IV site has redness, patient has chills but feels hot and patient states that he/she feels yucky?

A

IV infection

32
Q

What does extravasation refer to?

A

the leakage of injected drugs from blood vessels causing damage to the surrounding tissues

33
Q

S/S of extravasation

A

pain, stinging or burning sensations, and edema around the intravenous (IV) injection site

34
Q

What action should be taken with an IV site that is not WNL?

A

Discontinue the IV and relocate

35
Q

Why might IV insertion/IV therapy be needed?

A

antibiotic administration, hydration, med administration

NURS 366 (29 decks)

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