lab 2 IV Flashcards
advanatge of IV route
diadvanatge of IV route
in all IV therapy, the nurse’s responsebility is to
– Identify the patient and verify the legal order
– Check the infusion fluid and container for any obvious faults or contamination
– Maintain asepsis
– Ensure the administration of the prescribed fluid to the correct patient
– Check that the intravenous device remains patent
- Inspect the site of insertion and report abnormalities
– Control the rate of flow as prescribed
– Monitor the condition of the patient and report any changes
– Maintain appropriate documentation
safety for IV therapy
– All details of prescription, calculations, and 5 rights check must be done by 2 nurses (1 must be a RN)
– Right patient
– Right Fluid
– Right Volume
– Right Route
– Right Time/Duration
– Must be checked 3 times
V fluid orders
– Must be a legal order
– Must be written on an IV order not in the medication chart
– For medications that require loading in to IV solution – there must be an IV order
– Must be checked by 2 nurses (1 must be an RN)
piggybacks
- Shorter tubing used to infuse small-volume medications
– Also referred to as IV piggybacks (IVPB) or minibags (IVMB)
burettes
– For greater accuracy in measurement of small-volume,
– IV medications or fluids, use calibrated burette chamber
flow rate formula
factors affecting flow rates
– Position of cannula – Tubing obstruction
– Position of extremity – IV patency
- IV clamps left on
infusion ports
– Used for intermittent Intravenous medication administration
– IVbolus
–Medications administered directly through lock or into IV tubing port if IV fluids infusing
– When administering IV bolus medications,must flush before andafter medication with 5 to 10 mL of compatible flush fluid
recommended pratice IV access ports
- replace IV access ports (bungs or valves) per manufacturer’s instructions
- clean hands
- swab with 70% alcohol, allow to dry prior to accessing to system
discontinuing IV
– Check order to discontinue – Maintain asepsis
– Small occlusive dressing
– Observe for bleeding
– Document
– Fluid balance chart – Progress notes