IV THERAPY Flashcards
It is the insertion of needle, catheter, or cannula into vein. It is connected to a tubing and fluid container to provide fluids and medications
IV THERAPY
TRUE OF FALSE: giving IV to a patient must be based on physician’s order
TRUE
Which is/are the following rights of medication administration is not included:
Right drug
Right client
Right Approach
Right Medical treatment
There is no specific Right Medical Treatment
What are the four basic principles to IV Therapy?
- Maintain IV Therapy
- Maintain line patency
- Protect from air emboli
- Protect from infection
- Protect integrity of catheter
Exclude IV Therapy
Which is not an objective to IV Therapy?
a. Maintain body fluid requirements
b. Replace present body fluid losses
c. Restore previous body fluid losses
NONE OF THE ABOVE
What should you do in order to protect the iv line from infection?
Do aseptic techniques
What should you do in order to protect the iv line from air emboli?
Priming (regulate the iv flow through roller clamp or regulator)
What are the three types of IV Infusion?
- Isotonic
- Hypertonic
- Hyporonic
These are known as plasma expanders
Isotonic
Used to expand the intravascular compartment and thus increase circulating volume
Isotonic
IB infusion makes the cells swollen
Hypotonic
IV Infusion makes the cell shrink
Hypertonic
When infused, serum osmolaeity pulls fluids from the cell and interstitial tissued into vascular space
Hypertonic
TRUE OE FALSE: You should fill the chamber half
TRUE
It is describe as moving the catheter to find a vein. This may lead to speed shock then death as part of the cannula can go into the circulation of the patient.
Fishing
Gauge number to use for surgical procedure
16 and 18
Gauge for adults
20
Gauge for pedia and old patients
22
Gauge for infants
24 and 26
What are following factors in administration of all IV meds are included?
a. Enviornment
b. Patient
c. Injection
d. Equipment
e. Disposal
f. Confidence
A to D only
This factor refers to ensuring that the nurse is confident and comfortable about the iv therapy procedure
ENVIRONMENT
This factor describes as knowing the allergies, health status, therapeutic compatibilities, and effectivness of medication
Patient
This factor refers to the cannula and its line patency, asepsis, and documentation
INJECTION
This factor considers the correct disposal of needles and syringes and medication
EQUIPMENT
Potential problems of IV are the following except?
a. Speed Shock
b. Incompatibility
c. Vascular Irritation
d. Incomplete mixing of drug with fluid
e. Inability to remove drugbonce administered into blood stream
NONE OF THE ABOVE
TRUE OR FALSE: Incompatibility refers to the antagonist and agonist roles between drugs
TRUE
TRUE OR FALSE: You must consider in administering antidote if you infused incomplete or inadequate drug with fluids
TRUE
These are the following guidelines to avoid incompatibilities except:
a. Do not add drugs to complex solutions like blood, lipid, amino acids, and parenteral nutrition solution
b. Consider more simple solutions for less likehood of incompatibility
c. Ignore adverse reactions of the patient
C
Inflammatory process results from administration of drugs causing a roughening of the endothelial cells allowing platelets to adhere and a thrombus to form.
a. Phlebetis
b. Vascular Trauma
c. Circulatory Overload
B
Refers to septic thrombosis when aseptic technique is poor
Thrombophlebetis
It is rare in IV fluid administration but when line is not primed adequatley it can cause:
a. Vascular Trauma
b. Speed shock
c. Air Embolism
C
It may occur when part of the plastic cannula is sheared off by the introducer needle. Hence we should not reintroducr the needle once it has been fully or partially removed.
a. Catheter embolism
b. Speed shock
c. Clotted Cannula
A
Symptoms may include redness, swelling, pain, and heat around the cannula site. Patient may sat that it is tender and painful to touch and the nurse may observed that the infusion slows down or has stopped.
a. Phlebetis
b. clotted cannula
c. circulatory overload
A
Nurse Jungkook witnessed that the patient is havint phlebitis. Which are the following interventions that needs to be discussed further more:
a. Regulate the infusion more
b. Apply warm compress till the pain is remover
c. Elevate or rest the arm
A. You must stop the infusion
It happens when the IV solution is being infused quickly
a. Circulatory Overload
b. Speed shock
c. Air Embolism
A
TRUE OR FALSE: When infused quickly, vital signs such as heart rate, respiratory rate, blood pressure increases during circulatory overload
TRUE
Distended neck veins, dyspnea, and generalized comfort is present in your patient when this complication occured.
a. Circulatory Overload
b. Speed shock
c. Phlebitis
A
Patient experiences circulatory overload. What should the nurse do except?
a. Fast rate at KVO
b. Place person to semi-fowler’s position
c. Notify Staff
d. Monitor patient
A. Should be in slow rate
A systemic recation that occurs when a foreign body is rapidly inteoduced into the bloodstream.
a. Phlebitis
b. Vascular Trauma
c. Speed shock
C
Patient may experience headache, chest pain, irregular pulse with decreased BP, loss of consciousness and possible cardiac arrest with this complication
Speed Shock
Patient experience severe headache, chest pain, irregular pulse with decreased BP, loss of consciousness, and even cardiac arrrest with this complication
Speed shock
TRUE OR FALSE: When pt is having speed shock, the nurse must stay with the patient, stop the infusion, ABC priority and notify the staff
TRUE
TRUE OR FALSE: When inserting IV needle and catheter, choose a vein that has branches
FALSE
TRUE OR FALSE: Add much pressure when removing cannula
FALSE
How long should you do piggyback?
30 minutes to 1 hour
