IV medications

Question 1

IV meds scope of practice

Answer 1

require indirect supervision and a co-sign

Question 2

direct IV

Answer 2

from syringe into line and is considered a bolus measured in mg/min

Question 3

Intermittent IV

Answer 3

comes from bag into line and is a piggyback

Question 4

3 advantages of IV meds

Answer 4

rapid onset, maintains therapeutic blood levels, less discomfort for patients

Question 5

2 disadvantages of IV meds

Answer 5

rapid onset which could lead to speed shock, possible dangerous complications such as fluid overload and infection

Question 6

complications of IV meds

Answer 6

rash, phlebitis, infiltration, infection, extravasation

Question 7

phlebitis

Answer 7

inflammation of inner lining of vein due to chemical irritation

Question 8

mechanical phlebitis

Answer 8

catheter irritates or injures endothelial cells

Question 9

chemical phlebitis

Answer 9

results from damage to tunica intima

Question 10

S&S of phlebitis

Answer 10

redness, pain swelling, palpable cord

Question 11

treatment of phlebitis

Answer 11

elevate limb and use warm compress

Question 12

extravasation

Answer 12

escape of irritating fluid from vein into surrounding tissue

Question 13

infiltration

Answer 13

escape of non-irritating fluid from vein into surrounding tissue

Question 14

S&S of extravasation

Answer 14

cool skin, blanched and taut skin, tightness and burning sensation,

Question 15

complications of extravasation

Answer 15

compartment syndrome, complex regional pain syndrome, necrosis

Question 16

treatment of extravasation

Answer 16

use warm or cold compress, elevate

Question 17

physical incompatibility

Answer 17

visible reaction that occurs
eg. hazy, precipitate formation

Question 18

chemical incompatibility

Answer 18

degradation of drug
- reaction may not be visible
- unstable pH

Question 19

therapeutic incompatibility

Answer 19

undesirable effect that occurs in patient as a result of 2 or more drugs being given at the same time

Question 20

10% rule for minibag

Answer 20

if less than 10% no need to remove fluid
if greater than 10% then remove volume

Question 21

characterization of local complications

Answer 21

occur due to adverse reactions or trauma to surrounding site

Question 22

hematoma

Answer 22

infiltration of blood into tissues
- occur due to incorrect manipulation technique

Question 23

clinical indication of hematoma

Answer 23

resistance to positive pressure flushing