Lab 11 Iv part 1 Flashcards

1
Q

where is the tip of the catheter in a peripheral access line

A

the tip of the catheter remains in a peripheral vein

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2
Q

how long are peripheral access devices usually left in for

A

7-10 days

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3
Q

where is the tip of the catheter in a central venous line

A

it remains in the superior vena cava

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4
Q

how long of a treatment is a central venous line used for

A

usually used for treatments lasting longer than 7 days and up to years

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5
Q

how long are butterfly needles used for

A

short term (less than 24 hours)

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6
Q

what are arrow midlines usually used for

A

usually used for clients that require IV medication for 6-14 days

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7
Q

for microdrip IV tubing how many gtts equals 1 ml

A

60 gtts=1mL

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8
Q

for a macrodrip IV tubing how many gtts=1 mL

A

10 gtts=1mL

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9
Q

what is a microdrip IV tubing usually used for

A

pediatrics

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10
Q

if you were going to continuously infuse medication how many mL/h would you set the pump at

A

20 ml/h

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11
Q

if you were going to keep the vein open how many mL/h would you set the pump at

A

20-50 mL/h

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12
Q

if you wanted to maintain fluid and electrolyte balance how many mL/h would you set the pump at

A

100-125 mL/h

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13
Q

if you wanted to rehydrate someone and replaced lost fluids how many mL/h would you set the pump at

A

150 mL/h

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14
Q

if you wanted to give someone a fluid bolus how many mL/h would you set the pump at

A

250-500 mL/h

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15
Q

how often should you do an IV site assessment

A

once per shift

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16
Q

how often should you do an IV site assessment if a pt is on continuous infusion

A

every hour

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17
Q

what should a nurse do if a patient has an IV with a phlebitis scale that does not equal 0

A

remove the IV

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18
Q

what type of swab would you use to clean an IV site

A

chlorhexidine swab

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19
Q

if a IV site is SL and not in use how often should you acess patency and flush

A

every 24 hours

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20
Q

how big of a syringe would you use if you were going to assess the patency of a PVAD and why

A

always use a 10 mL syringe or bigger since a smaller syringe creates more pressure and can rupture the catheter

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21
Q

when does an IV port need to be swabbed

A

Every time before access (so anytime you use it)

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22
Q

how often do you change the needless end caps

A

every 4-7 days or if blood has been removed from that port

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23
Q

how often should you change IV tubing for a continuous infusion

A

change ever 96 hours

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24
Q

how often should you change IV tubing when a pt is receiving an intermittent or secondary infusion

A

change every 24 hours

25
What information do you include when labeling IV tubing
Date time (could be time you changed it or when it should be changed next) initials
26
how often should you change an IV bag that is continuous IV solution that does not contain medication
every 96 hours
26
how often should you change an IV bag that has an intermittent IV solution not containing medication
every 24 hours
27
how often should you change an IV bag that has IV solution containing medication
every 24 hours
28
where must you document the infusion rate for a PT
on the in/out record
29
if you need to temporarily disconnect an IV and cap the end can you use a cap from another piece of equipment
yes you can as long as it is not contaminated
30
what is osmolality
is the concentration of solutes in a solution
31
what is tonicity
the capability of a solution to modify the volume of cells by altering their water content
32
what is normal body fluid osmolality with units
285-295 mOsM/L
33
what tonicity is 0.9% NaCl to body fluids
it is isotonic to body fluids
34
what tonicity is Lactated ringers to the body
acts isotonic to the body
35
what tonicity is dextrose 5% in 0.9% NaCl solution to the body
acts isotonic in the body after the dextrose is metabolized
36
what tonicity is dextrose 5% in lactated ringers to the body
acts isotonic in the body once the dextrose is metabolized
37
do Isotonic solutions change the volume of cells
no they do not since it has the same osmolality as the fluid inside the cells so the fluid stays inside
38
What are three indications for isotonic solutions
fluid and sodium loss hypovolemic shock mild hyponatremia
39
what tonicity is 0.45% nacl to the body
acts hypotonic to the body
40
what tonicity is dextrose 5% to the body
acts hypotonic to the body after glucose metabolizes
41
where would the fluid shift if a hypotonic solution was infused intravenously
fluid would shift into the cells since they have a higher osmolality than the fluid being infused
42
what conditions would be a contraindication for hypotonic solutions *think anything where you don't want the cells to swell up
Increased ICP liver disease trauma or burns
43
if a hypertonic fluid was infused into the body where would the fluid shift
fluid would shift out of the cells and into the intravascular space
44
what tonicity is 3% NaCl to the body
acts hypertonic to the body
45
what tonicity is total parenteral nutrition to the body
it acts hypertonic to the body
46
What are some indications of hypertonic IV fluids *think anything where you would want volume in the intravascular space and out of the intracellular
hypovolemia hyponatremia cerebral edema critical hypoglycemia
47
why are colloid solutions always hypertonic
because they contain proteins like albumin that are to big to pass through cell membranes
48
if a pt was infused with a colloid solution where would the fluid shift
would shift into the intravascular space since it is HYPERtonic
49
what is the formula for infusion rate gtt/min
(IV rate mL/min) x (drop factor gtt/mL)
50
daily input should be equal to daily output plus how many mL? and why
plus 500 ml to account for insensible loss of fluid
51
what kind of food would you document on an in and out chart as fluid intake
foods that at room temp become liquid
52
would you chart catheter or tube irrigants on an in and out sheet
Yes
53
What color is a 24G IV catheter
yellow
54
What color is a 22G IV catheter
blue
55
What color is a 20G IV catheter
Pink
56
What color is a 18G IV catheter
Green
57
What color is a 16G IV catheter
purple
58
What color is a 14G catheter
Red