I.V Maintenance And Termination

Question 1

Short peripheral access device

Answer 1

Less than or equal to 3 inches in length, the catheter is inserted in the forearm. (Common)

Question 2

Midline

Answer 2

Considered peripheral because it does not go all the way to the heart. It goes through the brachial, but stops at the axillary.

Question 3

Peripherally, inserted, Central catheter(PICC line)

Answer 3

Inserted in the brachial, and goes all the way to the heart

Question 4

Why is it important to know the difference between short peripheral access vs midline vs PICC line?

Answer 4

It is important to know the difference as certain medication’s cannot be administered through each location

Question 5

What must we obtain in order to insert a central catheter?

Answer 5

Consent is needed to insert a central catheter as it is an invasive procedure.

Question 6

What is an intermittent infusion device?(know for clinical)

Answer 6

-It’s purpose is to maintain an IV site without IV solution infusing
-emergency IV access
-Access for intermittent IV medication

Question 7

How often should the primary tubing be changed?

Answer 7

The primary tubing, which is connected to the big bag should be changed every 96 hours.
-The less we mess with it, the less chance of infection

Question 8

How often should secondary tubing (piggyback) be changed

Answer 8

It should be changed 24 hours after insertion and then weekly(following facilities, policy and procedures)

Question 9

What are two types of infection prevention?

Answer 9

1. Never allow IV tubing to touch the floor.
2. If tubing becomes contaminated, it must be replaced entirely.

Question 10

Siri, there are five types of iv complications

Answer 10

Infiltration
Extravasation
Phlebitis
Infection
Circulatory overload

Question 11

What is infiltration?

Answer 11

It is one fluid enters the subcutaneous tissue instead of being nice and flat. It causes everything to swell.
Symptoms:
Pale
Tight skin

Question 12

What actions should the nurse take when finding infiltration?

Answer 12

The nurse should:
1. Stop the fluids.
2. Take out Iv
3. Replace either proximal, or in the other arm.

Question 13

What is extravasation

Answer 13

It is similar to infiltration, but there is medicine that is running into the sub tissues, that is toxic to the skin and toxic to the blood vessels.
Vesicant: trauma to the tissues
Symptoms:
Causes skin to break down
Causes swelling
Openings of the skin
(I can be due to the cannula either piercing the vessel wall or by Venus pressure that causes leakage around the puncture site) (blown vein)

Question 14

What action should the nurse take when finding extravasation?

Answer 14

1. The nurse should reach out to the physician before removing the IV.
2. Wait for instructions from the physician.
3. Could apply a warm or cold compress.

Could eventually restart a new IV

Question 15

What is phlebitis?

Answer 15

Phlebitis is an inflammation along the vessel wall, there is a red streak in the skin where the vessel is.
Symptoms:
Red vein
Vein becomes inflamed

Question 16

What action should the nurse take when discovering phlebitis?

Answer 16

1. The nurse should stop the IV
2. Remove the IV
3. Start a new Ivy, either proximal or on other arm
4. Then notify the provider

Question 17

What is infection?

Answer 17

It can occur at any point after IV being inserted
Symptoms:
Redness
Hot to touch
Drainage

Question 18

What action should the nurse take when discovering IV infection?

Answer 18

1. the nurse should stop fluids
2. Remove IV
3. Send tubing/IV to lab for culture
4. Set up new IV on different arm
5. Would possibly have to set up wound care for patient
6. Inform provider after stopping fluids

Question 19

What is circulatory overload?

Answer 19

This occurs because fluid is running either too fast or too much fluid has been administered to the patient(more than the patient’s body can handle)
Symptoms:
Lungs will sound moist (wet and gurgling)
Edema may start
Vital signs were change
Can begin tachycardic, which then goes to bradycardic

Question 20

What actions must the nurse take when discovering circulatory overload?

Answer 20

1. The nurse needs to slow down the IV
   2.continuously monitor the patient
2. If lungs sound moist, ensure patient is sitting up and not laying down