IV Starts

Question 1

What three components should be included in a doctor’s order for insertion of IV catheter?

Answer 1

IV rate, infusion solution, date and signature

Question 2

What complication may occur when an excessive amount of isotonic solution is infused?

Answer 2

Fluid Volume Excess

Question 3

Give reasons why an IV site may be painful?

Answer 3

Phlebitis
Infiltration or Infection
IV catheter located against a nerve
Chemical irritation of infusion solution
IV catheter inserted too far
IV size too large for the vein

Question 4

List 4 reasons a hematoma may occur with insertion:

Answer 4

1) Angle too great
2) Too much force may have punctured the posterior wall of vein
3) Fragile veins d/t age, medical condition
4) Catheter too large

Question 5

List 4 ways to dilate a vein:

Answer 5

1) Dangling the arm down to promote more blood volume
2) Applying heat to cause vasodilation
3) Gentle tapping with a finger
4) Applying the tourniquet above the antecubital fossa for better visualization

Question 6

Leave the tourniquet no longer than …. minutes to prevent vein fatigue and decrease venous pooling.

Answer 6

2-3 minutes