IV Therapy Flashcards
are these examples of local or systemic infection fever chills malaise elevated WBCs
Systemic
are these examples of local or systemic infection redness warmth swelling at catheter site possible purulent drainage
Local
do you need clean or sterile gloves for IV therapy
clean
how should the nurse document when terminating an IV
a nurse note
how should you terminate a IV
Stop flow Remove intravenous device Assess site Inspect and ensure device is intact Apply pressure and applicable dressing
If a patient is receiving anticoagulants, low-dose aspirin , warfarin sodium, low platelet the client then when removing the nurse should
apply steady pressure for 5 -10 minutes or longer then assess for bleeding
line maintenance involves
keeping the system sterile and intact
changing IV fluid containers, tubing, and contaminated site dressings
assisting clients with self-care activities
monitoring for complications
Peripheral IV catheter sites should be routinely assessed for:
redness, temperature, tenderness, swelling, drainage
presence of paresthesia, numbness, or tingling
what are some examples of an IV occlusion
- catheter is leaking from the insertion site
- inability to infuse fluid
- plastic needle lodged against venous wall
What are the nurses responsibilities for IV therapy
know the type of solution being infuses
possible side effect
monitor IV
discontinue IV
what does KVO mean
keep vein open
what does TKO mean
to keep open
what is extravastation
Inadvertent leakage of vesicant IV solution into surrounding tissues
what is infiltration
Inadvertent leakage of IV solution/medication into surrounding SQ tissues
what is phlebitis
Inflammation of wall of a vein
cause could be mechanical or chemical
what is thrombophlebitis
Inflammation of the vein due to a blood clot below the surface of the skin
what is vesicant
chemical agent that causes burns and destruction of tissue both internally and externally
what should you do if Inability to infuse fluid
start at insertion site, double check for kinks in tubing/catheter
what should you do if Plastic ‘needle’ lodged against venous wall
reposition client’s extremity
what should you do if your client is experiencing infiltration
discontinue IV and restart at new site
- avoid sites over joints
what should you do it Catheter is leaking around insertion site
stop infusion, remove IV, restart IV
when a client is experiencing extravasation what is the most useful symptom
pain
when should a primary intermittent administration set be changes
every 24 hours
when should an primary and secondary IV be changed
no more frequently then 96 hours or 4 days
when should you check an IV for a critically ill patient
every 1 -2 hours
when should you check IV therapy for an alert client
atleast every 4 hours
