IV Therapy Flashcards

1
Q
are these examples of local or systemic infection 
fever
chills 
malaise 
elevated WBCs
A

Systemic

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2
Q
are these examples of local or systemic infection 
redness 
warmth
swelling at catheter site 
possible purulent drainage
A

Local

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3
Q

do you need clean or sterile gloves for IV therapy

A

clean

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4
Q

how should the nurse document when terminating an IV

A

a nurse note

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5
Q

how should you terminate a IV

A
Stop flow
Remove intravenous device
Assess site
Inspect and ensure device is intact
Apply pressure and applicable dressing
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6
Q

If a patient is receiving anticoagulants, low-dose aspirin , warfarin sodium, low platelet the client then when removing the nurse should

A

apply steady pressure for 5 -10 minutes or longer then assess for bleeding

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7
Q

line maintenance involves

A

keeping the system sterile and intact

changing IV fluid containers, tubing, and contaminated site dressings

assisting clients with self-care activities

monitoring for complications

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8
Q

Peripheral IV catheter sites should be routinely assessed for:

A

redness, temperature, tenderness, swelling, drainage

presence of paresthesia, numbness, or tingling

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9
Q

what are some examples of an IV occlusion

A
  • catheter is leaking from the insertion site
  • inability to infuse fluid
  • plastic needle lodged against venous wall
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10
Q

What are the nurses responsibilities for IV therapy

A

know the type of solution being infuses
possible side effect
monitor IV
discontinue IV

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11
Q

what does KVO mean

A

keep vein open

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12
Q

what does TKO mean

A

to keep open

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13
Q

what is extravastation

A

Inadvertent leakage of vesicant IV solution into surrounding tissues

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14
Q

what is infiltration

A

Inadvertent leakage of IV solution/medication into surrounding SQ tissues

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15
Q

what is phlebitis

A

Inflammation of wall of a vein

cause could be mechanical or chemical

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16
Q

what is thrombophlebitis

A

Inflammation of the vein due to a blood clot below the surface of the skin

17
Q

what is vesicant

A

chemical agent that causes burns and destruction of tissue both internally and externally

18
Q

what should you do if Inability to infuse fluid

A

start at insertion site, double check for kinks in tubing/catheter

19
Q

what should you do if Plastic ‘needle’ lodged against venous wall

A

reposition client’s extremity

20
Q

what should you do if your client is experiencing infiltration

A

discontinue IV and restart at new site

- avoid sites over joints

21
Q

what should you do it Catheter is leaking around insertion site

A

stop infusion, remove IV, restart IV

22
Q

when a client is experiencing extravasation what is the most useful symptom

A

pain

23
Q

when should a primary intermittent administration set be changes

A

every 24 hours

24
Q

when should an primary and secondary IV be changed

A

no more frequently then 96 hours or 4 days

25
Q

when should you check an IV for a critically ill patient

A

every 1 -2 hours

26
Q

when should you check IV therapy for an alert client

A

atleast every 4 hours