IV Push and IVPB skills

Question 1

What is speed shock and effects?

Answer 1

Sudden adverse reaction to IV med. Flushed face/headache/cardiac arrest/loss of consciousness/irregular pulse/tight feeling in chest.

Question 2

Infiltration and effects?

Answer 2

IV fluid enter surrounding space/tissues. Edema, blanch, feels cool, pain.

Question 3

What is extravasation and what to do?

Answer 3

Med causes damage to surrounding tissues. May need wound care. Should stop IV and elevate.

Question 4

What is thrombophlebitis and effects?

Answer 4

Inflammation of vein. pain, edema, redness, warm.

Question 5

What is IV push (IVP) medications?

Answer 5

Manual administration of small volume of concentrated solution/medication directly into venous system via peripheral/central venous access device.

Question 6

IVP technique?

Answer 6

1. Select injection port of IV tubing
2. Wipe port with alcohol for 15 seconds/dry
3. If med not compatible with IV solution, stop IV infusion, scrub port with alcohol
4. Flush with 3 mL of sodium chloride
5. Injection med at correct rate
6. Scrub with alcohol and flush again with rest of NaCl

Question 7

Normal time for IVP flush?

Answer 7

2-5 mintues

Question 8

True or false- remember to unclamp before flushing/pushing med?

Answer 8

True

Question 9

What do you have to do before flushing with NaCl?

Answer 9

Pull back plunger/aspirate to check for blood return.