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?

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
If there is no blood return after inserting an IV what may have happened?
the needle may have missed the vein
26
Why should an IV not be placed in a pulsating vessel?
The vessel may be an artery
27
How many IV attempts can be done before someone else needs to be brought in to start the IV?
2
28
What could be the cause of redness, swelling, and warmth at the IV insertion site?
phlebitis
29
What could be the issue if there is swelling, but it is cool around the IV site?
infiltration
30
What could be the issue if the IV site has no redness, no swelling, is dry, but patient has SOB, puffy feet, and palpitations?
hypervolemia
31
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?
IV infection
32
What does extravasation refer to?
the leakage of injected drugs from blood vessels causing damage to the surrounding tissues
33
S/S of extravasation
pain, stinging or burning sensations, and edema around the intravenous (IV) injection site
34
What action should be taken with an IV site that is not WNL?
Discontinue the IV and relocate
35
Why might IV insertion/IV therapy be needed?
antibiotic administration, hydration, med administration