IV Therapy Flashcards

1
Q

what is the main reason for putting in an IV?

A

administer fluid (hypovolemia, shock, burn injury, blood loss, electrolyte imbalance, heat illness)

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2
Q

how many lines do burn victims need?

A

2 huge lines

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3
Q

what do you need to think about when you decide on a size of IV?

A

what you are going to put in there, b/c if you have an abx or something caustic it will burn the vein up

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4
Q

what IV access do you need for TPN?

A

triple lumen

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5
Q

what is a contraindication for IV access?

A

site of cellulitis (can cause septicemia)

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6
Q

in whom should you avoid lower extremity IVs?

A

elderly
PVD
DM

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7
Q

which type of embolism is more likely with an iV?

A

pulmonary b/c IV can encourage clotting

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8
Q

what is the femoral line usually?

A

quad lumen

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9
Q

what type of IV access would you use in babies?

A

umbilical line

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10
Q

where should you avoid putting an IV?

A

antecubital space

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11
Q

who insserts a PICC line?

A

specially trained RN, radiology PA, physician

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12
Q

when would you use a PICC line?

A

IV access is not easily achieved and you know the pt will be in the hospital for a while

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13
Q

how many ports does a PICC line have?

A

2, one goes out, one goes in

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14
Q

when would you use a Hickman (tunneled) central line?

A

chemotherapy

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15
Q

what central line will you see in ICU?

A

swan-ganz (invasive pressure monitoring)

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16
Q

what do you always have to check?

A

placement

17
Q

what is the main reason to do an arterial line?

A

if you need frequent ABG

18
Q

when is an intraosseous line used?

A

when venous access is not acheived and you need temporary fluid resusitation

19
Q

what areas do you want to avoid when placing an IV?

A

bumps, bifurcations which tells you there is a valve

20
Q

how should the vein feel that you want to use?

A

bouncy, not hard, bumpy or flat

21
Q

what are the first few steps of applying IV?

A
  1. apply tourniquet
  2. choose the vein
  3. release tourniquet
  4. check supplies
  5. reapply tourniquet
22
Q

how do you anchor the vein?

A

retract skin distally

23
Q

when is direct entry good?

A

larger veins

24
Q

when is indirect entry good?

A

smaller veins

25
Q

when will you know you are in?

A

you will see a flashback of blood

26
Q

what is cannulation?

A

floating catheter as far into the vein as you can

27
Q

what do you need to have ready after you cannulate?

A

fluid or syringe to control blood

28
Q

what do you watch for after IV insertion?

A

swelling (hematoma)

flow

29
Q

how often should IVs be changed?

A

every 3-4 days

30
Q

how often should you inspect IV site?

A

every day

31
Q

can you reinsert stylette once its been removed?

A

NO NO NO

32
Q

how can you control phlebitis related to abx infusion?

A

increase concurrent fluid infusion