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
What is CLIP?
Central Line Insertion Practices, like everyone in the room will gown up, mask up, glove up, etc.
What is a CLABSI Bundle?
A kit of things to help prevent infections.
What are some types of catheters?
Non tunneled (fixed in place - like Subclavian and jugular), tunneled (moved down farther - separate exit side, like Broviac, Hickman and Groshong), Dialysis (Quinton), PICC and Implanted Ports
What is a PICC line?
Inserted in peripheral vein and threaded into the superior vena cava.
PICC - Long or short term use?
Long term.
PICC dressing changes - 24 hours after insertion then usually every 7 days and PRN. T/F?
True!
Always check for blood return in catheter before using - it should be free flowing! T/F?
True!
Groshong valves - flushed with saline.
Ports are flushed and heparanized. T/F?
True!
What are some major problems with CVAD’s?
Related to incorrect placement, fibrin sheath formation, clot formation and infection/biofilm.
Assessing CVAD - what do we do?
Asses every shift and every time you are in the patient’s room. Observe the site/palpate, etc. Always ask for help if unsure!
What are some alternative sites for Infusion?
Intraperitoneal (into abdomen), Intraspinal and Intraosseous
Intraosseous IV - drill into..
Mid Tibia - and you can put anything in there!
