Normal Iv

Question 1

why would one need iv

Answer 1

medication administration (rapid/ can’t swallow)
nutritional (GI absorb impaired/ can’t swallow)
blood
fluid replacement

Question 2

how much flush saline lock

Answer 2

3-5 mls

flush 2x day or prn

Question 3

material needed for iv

Answer 3

sterile gloves
tubing and bag
iv wipes
sterile kit
clean gloves
caviwipes
tagaderm
pole
tape
infusion adapter
spike
slide clamp
roller clamp

Question 4

what does Hypotonic solution do

Answer 4

causes fluid to go into cell

.45 NS

Question 5

Isotonic

Answer 5

no shift .. only ^ extra cellular fluid

Ringers lactate
D5W
NS

Question 6

hypertonic

Answer 6

Dextrose-

Question 7

should iv site be hot or cold

Answer 7

cold

Question 8

iv bag check bag for

Answer 8

expiration 
solution 
volume
address
rate

Question 9

how often do u change iv site

Answer 9

72 h

Question 10

how often do u change tubing

Answer 10

72 h

Question 11

fluid bag can hang for

Answer 11

24 h

Question 12

remove iv what do u document

Answer 12

tip in tact

Question 13

tpn- (moniter cx….)

Answer 13

moniter electrolytes

Question 14

complications of iv

infiltration sand s

Answer 14

swelling
slow infusion rate
coolness around site

stop and resite

Question 15

flabitous

Answer 15

swelling of the vein

clot forms

slow infusion 
edema
intense pain
redness around needle
red streak above site

*discontinue and warm cloth

Question 16

thrombosis

Answer 16

vein wall injury (drug use)

scar tissue in vein

Question 17

What are the guide lines for administering IV therapy? (your role)

Answer 17

confirm IV order
check IV solution/additives/rate/ volume
check date
check connections
tubing for air
moniter site for complications

Question 18

complications of IV

Answer 18

Circulatory overload
infiltrations
flabitous
infection
hematoma
air embolism

Question 19

hematoma is

Answer 19

a collection of blood into tissue

Question 20

cellulitis

Answer 20

a spreading bacterial infection

Question 21

thrombosis

Answer 21

creation of clot

formation of fibrin along wall of vein

Question 22

phelbitis

Answer 22

vein inflamed

pain /swelling

Question 23

sepsis

Answer 23

system infection

Question 24

pulmonary thromboembolism

Answer 24

blood clot in lung

Question 25

air embolism

Answer 25

air bubbles enters circulatory system

Question 26

cathater fragment embolism

Answer 26

broken piece of catheter in vein enters circulatory system

Question 27

local infiltration

Answer 27

infusion of IV fluid into skin

Question 28

circulatory overload

hypervolemia

Answer 28

fluid vol. exceeds norm for intra vascular space and has potential to compromise cardiovascular pulmonary function

unresolved causes heart failure/edema

Question 29

central line increases risk of…

Answer 29

infection

Question 30

iv guages

Answer 30

blue 22
pink 20
blood 18

Question 31

monitor site for S and S iv complications

Answer 31

infiltration: swelling, pain, cool, pale,
phlebitis: inflammation, reddened area or pink red line along vein, warm to touch

Question 32

0.9 NaCl (NS)

Answer 32

Isotonic

increase circulating plasma volume

Question 33

5%D/W (D5W)

Answer 33

isotonic
(5% Dextrose and water)
^ fluid vol.
provides calories for energy

Question 34

5%D/NaCll9 (D5NS)

Answer 34

Hypertonic
replace fluid
*watch for fluid volume overload

Question 35

5%/.45 NaCl (D5 - 1/2 NS)

Answer 35

Hypertonic

useful in daily maintenance fluids and nutrition and dehydration

common for post operative fluid

Question 36

Ringers Lactate

Answer 36

isotonic

restores electrolytes