LEC 3: Administration of IV Therapy

Question 1

What are the two types of IV lines?

Answer 1

• IV gravity line s

- IV pump lines

Question 2

Primary Lines

Answer 2

Directly attached to the patients

- Attached to saline lock

Question 3

Secondary Lines

Answer 3

Any additional IV line that is attached to the primary line

Question 4

What do you need to do before administrating an IV line?

Answer 4

• IV tubing is good for 96 hours
• Need to clean the port of the saline lock for 15 seconds; use firm circular motions
• Get ride of air bubbles; do not want it to go into the vein
• Check calculations for medications/ saline being administered
• Check packaging to ensure proper medication or saline is being administered
• Check expiriy date

Question 5

Documenting Maintenance of IV fluid

Answer 5

• Focus on the input component; what is going into the patient
• Document type of solution and the rate it is being infused in progress report
• Document solution in a 24 hours fluid balance sheet

Question 6

Monitoring and IV Infusion

Answer 6

• Ensure correct solution and rate of IV infusion as ordered
• Inspect patency of IV tubing and intactness of transparent dressing
  Inspect IV site for infiltration, phlebitis, and bleeding
• Check that transparent dressing is intact

Question 7

What are three possible complications of IV therapy?

Answer 7

1. Infiltration
2. Phlebitis
3. Fluid volume excess

Question 8

Infiltration

Answer 8

Iv Fluid enters the surrounding space around the venipuncture site

Question 9

Signs and Symptoms of Infiltration

Answer 9

• Edema
• Coldness
• Pale
• Painful

Question 10

Solutions to Stop Infiltration

Answer 10

• Stop IV infusion
• Restart IV infusion in another area
• Elevate site to stop edema and add heat
• Assess site regularly

Question 11

Phlebitis

Answer 11

Inflammation of the vein

Question 12

What causes phlebitis?

Answer 12

• Medication

- Multiple IV attempts

Question 13

Signs and Symptoms of Phlebitis

Answer 13

• Red at site
• Red line following path of vein
• Hot
• Edema
• Painful

Question 14

Solutions to Stop Phlebitits

Answer 14

• Stop IV solution
• Restart IV infusion in another area
• Elevate site and add heat to stop edema
• Change IV site every 4 days

Question 15

Fluid Volume Excess

Answer 15

Patient receives to much fluid

Question 16

What causes fluid volume excess?

Answer 16

IV solution has going in to quickly

Question 17

Signs and Symptoms of Fluid Volume Excess

Answer 17

• Generalized edem a
• Hypertension
• Crackles in lungs
• Shortness of breath
• Tachycardia

Question 18

Solutions to Stop Fluid Volume Excess

Answer 18

• Stop IV or slow rate
• Notify physician
• Monitor vitals
• Elevate head of bed if trouble breathing