Purposes Of IV Therapy

Question 1

Butterfly

Answer 1

• not commonly used

- used in small veins and maybe only for one med

Question 2

Over the needle catheters(quick catch)

Answer 2

• Once puncture is made, the metal needle comes out and stylet stays in place
• Replace every 96 hours

Question 3

Saline Locks

Answer 3

Have access to patients vein but patient not immobilized by constantly having to be hooked up to IV bag
- change every 96 hours

Question 4

Peripheral site placement

Answer 4

• arms/hands: Pick most distal area of non-dominant hand
• Infants you may use the head
• DO NOT use on side of vesectomy or restricted side

Question 5

Central IV catheter

Answer 5

• use a subclavian site in upper chest

- triple lumen

Question 6

Peripherally Inserted Central Line

Answer 6

• can be left in for months
• may be inserted due to patient having difficult venous access
• inserted in arm and delivers into the superior vena cava

Question 7

Subcutaneous port

Answer 7

Can stay in place for years

-tuning from port extends into vena canvas

Question 8

Advantages to peripheral catheters

Answer 8

• easy to insert
• generalist nurse can insert
• easy access to use

Question 9

Disadvantages of peripheral catheters

Answer 9

• Easily dislodged
• interfere with mobility
• infection risk

Question 10

Minuses of central catheters

Answer 10

• requires more training to insert
• more systemic risk of infection
• more expensive

Question 11

Pluses of central catheters

Answer 11

• can deliver large amounts quickly
• can deliver vesicant solutions
• more expensive

Question 12

Infiltration

Answer 12

There’s a leakage of IV FLUID(non-irritating fluid) that leaks into subcutaneous tissue around the vein

Question 13

Vesicant

Answer 13

IV solution that you are using(irritating solution)

Question 14

Extravasation

Answer 14

Leakage of irritating fluid into subcutaneous tissue

Question 15

Phlebitis

Answer 15

Inflammation of the vein

Question 16

Thrombophlebitis

Answer 16

Inflammation of the vein, along with a clot developing on the end of the catheter

Question 17

Occlusion

Answer 17

Complete blockage of the end of the catheter,may be due to complete thrombophlebitis, or displacement of catheter

Question 18

Progenitor reactions

Answer 18

Fever due to contaminated materials, patient will typically complain of fever, headache, back pain due to kidney complications

Question 19

Circulatory overload

Answer 19

Happens when patient gets too much fluid in the vascular system

-creates pulmonary edema, elevated BP/HR

Question 20

Air Embolism

Answer 20

A patient receives an amount of air into blood stream that is large enough to cause significant problems

• takes about 10 mL’s to kill or harm pt.
• causes dysrhythmias or stroke
• turn patient onto left side and put into trendelimberg if this happens

Question 21

Purposes of IV therapy

Answer 21

Give medications 
Give fluids 
Give feedings
-restore acid base balance 
-replace blood volume
-maintain or replace fluids and electrolytes