IV Therapy Flashcards
what is the main reason for putting in an IV?
administer fluid (hypovolemia, shock, burn injury, blood loss, electrolyte imbalance, heat illness)
how many lines do burn victims need?
2 huge lines
what do you need to think about when you decide on a size of IV?
what you are going to put in there, b/c if you have an abx or something caustic it will burn the vein up
what IV access do you need for TPN?
triple lumen
what is a contraindication for IV access?
site of cellulitis (can cause septicemia)
in whom should you avoid lower extremity IVs?
elderly
PVD
DM
which type of embolism is more likely with an iV?
pulmonary b/c IV can encourage clotting
what is the femoral line usually?
quad lumen
what type of IV access would you use in babies?
umbilical line
where should you avoid putting an IV?
antecubital space
who insserts a PICC line?
specially trained RN, radiology PA, physician
when would you use a PICC line?
IV access is not easily achieved and you know the pt will be in the hospital for a while
how many ports does a PICC line have?
2, one goes out, one goes in
when would you use a Hickman (tunneled) central line?
chemotherapy
what central line will you see in ICU?
swan-ganz (invasive pressure monitoring)
what do you always have to check?
placement
what is the main reason to do an arterial line?
if you need frequent ABG
when is an intraosseous line used?
when venous access is not acheived and you need temporary fluid resusitation
what areas do you want to avoid when placing an IV?
bumps, bifurcations which tells you there is a valve
how should the vein feel that you want to use?
bouncy, not hard, bumpy or flat
what are the first few steps of applying IV?
- apply tourniquet
- choose the vein
- release tourniquet
- check supplies
- reapply tourniquet
how do you anchor the vein?
retract skin distally
when is direct entry good?
larger veins
when is indirect entry good?
smaller veins
when will you know you are in?
you will see a flashback of blood
what is cannulation?
floating catheter as far into the vein as you can
what do you need to have ready after you cannulate?
fluid or syringe to control blood
what do you watch for after IV insertion?
swelling (hematoma)
flow
how often should IVs be changed?
every 3-4 days
how often should you inspect IV site?
every day
can you reinsert stylette once its been removed?
NO NO NO
how can you control phlebitis related to abx infusion?
increase concurrent fluid infusion
