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IV > IV Therapy Quiz 2 > Flashcards

IV Therapy Quiz 2 Flashcards

1
Q

What size syringe should be used for flushing a central line

A

10 mL

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2
Q

What fluids are LPNs allowed to hang

A

isotonic, hypotonic, antibiotics

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3
Q

What fluids are LPNs not allowed to hang

A

hypertonic, blood, vitamins, Potassium

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4
Q

What age groups are LPNs not allowed to start IVs on

A

less than 18

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5
Q

What is TPN

A

total parental nutrition

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6
Q

How many times typically can a nurse attempt to gain IV access until another nurse should try

A

2

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7
Q

What is a PICC line

A

central line that starts in the arm

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8
Q

The tip of a PICC line should be where

A

superior vena cava

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9
Q

Who can insert PICC lines

A

specially trained RN- doctor

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10
Q

How is PICC line placement verified

A

X-ray

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11
Q

What is a tunneled central venous line

A

under the skin some and it’s more stable as a result

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12
Q

How often should implanted ports be flushed when not in use

A

every 4 weeks

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13
Q

Which types of patients are candidates for TPN

A

NPO, GI problems, PANCREATITIS

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14
Q

Can a LPN give TPN

A

no

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15
Q

What kind of IVs can TPN infuse through

A

central lines

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16
Q

Which vein is recommended for use when inserting a PICC line

A

basilic vein

17
Q

What are symptoms of an air embolism

A

difficult breathing, chest pain, confusion, decreased O2

18
Q

What should be done if an air embolism from a CVC is suspected

A

trendelenberg - turn on left side - get nurse

19
Q

What should the nurse ask the patient to do to avoid an air embolism

A

hold breath and bear down

20
Q

What is an acceptable/trusted resource if a nurse has questions regarding IVs

A

Infusion nurse society

21
Q

What is an implanted port

A

infusion port with catheter attached

22
Q

how does the nurse access an implanted port

A

with a huber needle

23
Q

How can the policy within a facility in which a nurse works influence that nurses practice

A

it can limit it!

24
Q

If, after the initial stick, no blood return is obtained, what should the nurse do

A

take out - get new needle, try at a different place

25
Q

Which vein should be avoided when starting a central line

A

femoral vein

26
Q

What are symptoms of an occluding CVC

A

can’t aspirate blood, goes slow, feels resistance

27
Q

What is the order for flushing a peripheral IV

A

SAS - saline - antibiotic - saline

28
Q

What is the order for flushing a CVC

A

SASH - saline - antibiotic - saline - heparin

29
Q

How much saline should be used to flush a CVC

A

3 mL

30
Q

How much heparin and what strength should be used to flush a CVC

A

1000u/mL

31
Q

What is a Groshong catheter

A

specialized tip to keep the line open - don’t need to flush with heparin

32
Q

What are indications for a CVC

A

chemo, blood products, lots of fluid, monitoring CVP, TPN

IV (3 decks)

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