IV Therapy - Unit 1 Flashcards
What are some purposes of IV Therapy?
Provides parenteral nutrition, avenue for dialysis, hemodynamic monitoring, diagnostic testing, administration of meds/fluids, etc.
What are crystalloids?
Saline - regular fluids.
What are colloids?
Think blood, platelets, etc.
Isotonic = what percent normal saline?
.9%
What is infiltration of an IV?
Swelling, leakage, etc.
What is extravasation of the IV?
When it causes major damage - bad bad bad!
If the patient says their IV hurts, what do we do?
STOP IT and pull it out!
What is phlebitis?
Inflammation - hardening of the iv area.
What does thrombophlebitis look like?
Redness, swelling, pain of the IV area.
After __ days, the peripheral IV needs to be changed.
4 days.
Tubing of an IV needs to be changed every __ days.
4 days.
TPN IV - needs to be changed every _ day.
Everyday!
What are some systemic complications of IV therapy?
Circulatory overload, allergic reaction and catheter embolism.
What do we have to do for care of an IV in an older adult?
Skin case, vein and catheter selection (pick a good one) and cardiac and renal changes (look for those.)
With an IV, the smaller the #, the bigger the needle. T/F?
True!
What do we have to do for care of the peripheral IV?
Know the type and size, know the vein site and location, type of fluid infusing, insertion date, assess for redness and problems, make sure it’s secure, assess every 2 hours, and scrub the hub!
Central line - is placing this a sterile procedure?
Yes!
Central Line - close to the ___.
Heart.
Central Line’s - change every ___ days.
7.
What is one of the major downfalls of central lines?
Infection!
We scrub the hub on a central line/IV’s for ….
15 seconds!
CVAD’s - tip of the catheter should be in ___ ___ ___.
Superior vena cava.
We need an X-Ray to confirm placement of the CVAD. T/F?
True!
What is a CLABSI?
Central Line Associated Blood Stream Infection
