Lab 1 - IV Push Meds

Question 1

What causes Infection?
S/s? (4)
What is the interventions? (4)

Answer 1

• Poor technique, with skin flora entering
  S/s: swell, tender, purulent drainage, fever
  Intervention:
  1. Request order for culture on needle
  2. d/c infusion
  3. change site
  4. v/s

Question 2

What causes Infiltration?
S/s? (6)
Interventions? (5)

Answer 2

• Displaced, puncture vein, leaking blood, leaking at site
  S/s: cool, swell, discomfort, edema, no blood return, leaking at site
  Intervention:
  1. d/c infusion and remove IV
  2. pulse and cap refill
  3. apply warm compress (TID-QID)
  4. Elevate limb
  5. don’t massage

Question 3

What causes Extravasation?
S/s? (7)
Interventions? (5)

Answer 3

• Infiltration of irritant drug, causes long term damage
  S/s: red, edema, hard, cool, burning, tissue slough, poor infusing
  Intervention:
  1. d/c infusion
  2. notify HCP
  3. policy
  4. new site (opposite side)
  5. elevate limb

Question 4

What causes Phlebitis?
S/s? (5)
Interventions? (3)

Answer 4

• Inflammation, irritation by solution, trauma, too small/large vein
  S/s: edema along vein, sore/hard/warm, redline, slowed infusion rate, tender
  Intervention:
  1. d/c infusion
  2. warm compress
  3. don’t rub

Question 5

What causes Thrombosis?
S/s? (2)
Interventions? (3)

Answer 5

• obstructed by thrombosis l/t venous wall injury
  S/s: infusion stops, pain/swell/red
  Intervention:
  1. Remove IV
  2. Start new location
  3. observe site

Question 6

What causes Speed Shock?
S/s? (5)
Prevention? (2)
Treat? (3)

Answer 6

• Sudden adverse rxn to IV med (admin too quickly)
  S/s: flushed face, h/a, tightness in chest, irreg HR, LOC, cardiac arrest

Prevention: flush @ prescribed rate, diluted med

Treat: stop infusion, notify, dex 5% in water @TKO rate