IV Therapy Quiz 2 Flashcards
What size syringe should be used for flushing a central line
10 mL
What fluids are LPNs allowed to hang
isotonic, hypotonic, antibiotics
What fluids are LPNs not allowed to hang
hypertonic, blood, vitamins, Potassium
What age groups are LPNs not allowed to start IVs on
less than 18
What is TPN
total parental nutrition
How many times typically can a nurse attempt to gain IV access until another nurse should try
2
What is a PICC line
central line that starts in the arm
The tip of a PICC line should be where
superior vena cava
Who can insert PICC lines
specially trained RN- doctor
How is PICC line placement verified
X-ray
What is a tunneled central venous line
under the skin some and it’s more stable as a result
How often should implanted ports be flushed when not in use
every 4 weeks
Which types of patients are candidates for TPN
NPO, GI problems, PANCREATITIS
Can a LPN give TPN
no
What kind of IVs can TPN infuse through
central lines
Which vein is recommended for use when inserting a PICC line
basilic vein
What are symptoms of an air embolism
difficult breathing, chest pain, confusion, decreased O2
What should be done if an air embolism from a CVC is suspected
trendelenberg - turn on left side - get nurse
What should the nurse ask the patient to do to avoid an air embolism
hold breath and bear down
What is an acceptable/trusted resource if a nurse has questions regarding IVs
Infusion nurse society
What is an implanted port
infusion port with catheter attached
how does the nurse access an implanted port
with a huber needle
How can the policy within a facility in which a nurse works influence that nurses practice
it can limit it!
If, after the initial stick, no blood return is obtained, what should the nurse do
take out - get new needle, try at a different place
