Peripheral Venous Cannulation Flashcards

1
Q

What are the indications for venous cannulation?

A

Unwell patient, Shock, IV fluids/ drugs, blood product transfusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the contraindications for cannulation?

A

Competent patient refusal, ipsilateral AV fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are alternatives to cannulation?

A

central venous cannulation, alternative route of administration (PO, IM, SC etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the early and late compliations of cannulation?

A

Early - haematoma, extravasation, local damage, air embolism

Late - Thrombophlebitis, Cellulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What equipment is required for a cannula?

A

Toniquet, alcohol wipe, cannula, predrawn saline flush, dressing, gauze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How can veins be enhanced for cannulation?

A

Torniquet, warmth, gravity, asking patient to clench fist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How often must cannulas be checked?

A

8 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How long can a cannula stay in situ?

A

As long as required if no signs of phlebitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the signs of phlebitis?

A

Warmth, itching, erythema, pain, swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the indications for giving fluids?

A

Volume replacement, maintenance, electrolyte abnormalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the contraindications to fluids?

A

Patient refusal, allergy, overload e.g. heart failure or CKD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the procedure for giving fluids?

A

Gel hands and put on apron and gloves
Check all prescriptions and patients bloods
Check use by dates of fluids and sets etc.
Attach set together
Close roller clamp
Sqeeze fluid into chamber
Allow to run through
Change gloves and apron
Clean needle free conector on bag and cannula and allow to dry
Flush cannula and attach the fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are sensible losses?

A

Output that can be measured including:

  • Urine
  • D and V
  • Drains
  • Suction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are insensible losses?

A

Fluid losses that can’t be measured and will change e.g. increased respiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly