IV Therapy Flashcards
An adult pt is defined as
One who is over 17 years old
PIV assessment occurs how often for Patients who are receiving non-irritant/ non-vesicant infusions and who are alert and oriented and who
are able to notify the nurse of any signs of problems such as pain, swelling, or redness at the
At least every 4 hours
How often should a PIV site be assessed for critically ill pts, adults with cognitive/sensory deficits/ sedated or unable to notify nurse of symptoms, or PIVs that are placed in a high risk location?
At least Every 1-2 hours
For all patients who have a locked PIV for intermittent infusions, the site should be assessed _______
with
every catheter access/infusion or at a minimum of twice per day.
Temp should be checked how often for PIV pts
According to MD orders/according to clinical judgement
When should the possiblity of a Catheter Related Blood stream Infection be considered
Anytime a PIV pt has a fever, even with no other symptoms
2% chlorhexidine (CHG) with 70% alcohol cleansing solution in single-use packages is used for
Cleansing at insertion sites
What is reccomended for infection control at IV connections
Alcohol-Impregnated Disinfection Caps
When preparing skin for a dressing, hw large of an area should be cleansed?
Larger than intended dressing
First choice of dressing for PIV and CVC
Transparent Semi Permeable Membrane (TSM) Dressings
When are dressing changes done on short peripheral catheters?
No unless dressing is soiled or no longwr intact
100-1000mL solution containers are considered sterile for how long after being removed from outer wrap?
30 days if no penetration
25-50mL solutions are considered sterile for how long after being removed from their outer wrap?
25 days if no penetration
Primary admin tubing for PIV is changed how often?
every 96 hours, whenever the PIV insertion site is
changed, or whenever indicated by the solution/medication that is being admini
Secondary admin sets will be changed
a maximum of 24 hours or with every use
Patency is assessed by
the ability to flush a CVC or PIV without resistance prior to the
administration of parenteral medications and solutions. AND the absence of localized edema
When does flushing occur?
- Prior to each intermittent infusion in order to assess PIV or CVC placement and patency
- After each infusion to prevent mixing of incompatible medications and solutions
- On a routine basis to maintain patency
PIV Flushing syringes contain
only preservative-free 0.9% normal saline (NS) 5 mL pre-filled
When a medication is reconstituted in a 100 mL minibag or larger, the amount of medication
left in the tubing by the time it reaches the air-in-line sensor in the IV infusion pump is
Insignificant and may be discarded
When a medication is reconstituted in a 50 mL minibag or smaller, the amount of medication
remaining in the tubing by the time it reaches the air-in-line sensor is
Clinically significant, and must be flushed through and delivered
Flush/Lock all PIVs with ____ 0.9% normal saline (NS) before each access and _____ NS after each access and a minimum of Q12H in acute care
1-3 mL, 1-3mL
TKVO defined (in mLs)
1-50mLs per hour dependent on pt specifics
Approx TKO order for adults
20-50 mL per hour
Approx TKO order ofr pedi and Neonates
3-15mL per hour
