Lab Skills Flashcards
Identify the parts of the IV tubing.
a. spike
b. drip chamber
c. roller clamp
d. clamp
e. y injection port
f. luer lock connector
Relative to the patient’s
position, which IV injection port
to use when administering
medication IV push?
Proximal
What is the proper way of
flushing the IV access when
administering medications IV push?
Saline - Medication - Saline
Push-stop method with the first flush only
How fast is a medication administered IV push?
At the recommended rate.
For IV piggyback method (secondary medication):
Relative to the patient’s
position, which IV injection port
to use when administering
medication?
Distal if only one pump because the connection needs to be
above the pump
Can use proximal if using 2 pumps and continuing the continuous
fluid at the same time.
Relative to the primary bag,
what is the proper position of
the secondary bag?
Higher than primary
What are the indications for a nasogastric tube? (NGT)
- bowel obstruction
- suction contents, such as after an overdose or gi bleed
- give food or medications when can’t swallow
What do you need to assess before inserting an NG tube?
- abdominal assessment, bowel sounds
- patency of nares
- measurement of tube
What is the proper
patient positioning
during insertion of an NG tube?
High Fowler’s
What are the correct landmarks for measuring the NG tube before insertion?
Tip of nares → earlobe → xiphoid process
What is the most reliable method for checking NG tube placement?
x-ray
What is the initial
position of the head
during insertion of NG tube?
hyperextended
During insertion of NG tube,
when do you ask the
patient to change the
head’s position and to what position?
When gagging - flex chin to chest
What instructions do you give to the pt about insertion of NGT?
- extend head
- tuck chin to chest
- swallow
What is the best action
if the patient gags or
coughs persistently,
but there are no signs
of distress during
insertion of NGT?
Stop, check for tube curling and continue insertion
