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Fundamentals B > Quiz 1 - IV's > Flashcards

Quiz 1 - IV's Flashcards

1
Q

list three reasons we use veins vs arteries for IV’s

A
  1. veins flow towards the heart (quicker absorption)
  2. arteries are high risk because they have fewer backups
  3. veins have valves that prevent backflow
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2
Q

list 6 reasons to start an IV

A
  1. fluid replacement
  2. TPN
  3. sampling of blood
  4. rapid med admin
  5. blood product admin
  6. diagnostic access for contrast
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3
Q

you locate the right vein for an IV by ___ and ___

A

inspection and palpation

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4
Q

5 ways to help get a vein for IV access

A
  1. pumping fist
  2. dependent position
  3. tourniquet
  4. proximal compression with a finger
  5. application of heat
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5
Q

which way should the bevel face when you start an IV

A

up

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6
Q

you should advance the IV catheter ONLY once you have ____

A

FLASHBACK

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7
Q

what three things do you label the IV dressing with

A
  1. initials
  2. date
  3. time
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8
Q

you saline flush once the IV is in and then ____

A

q8-24 hrs

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9
Q

change primary IV tubing ____

A

q24hr

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10
Q

change IV no more than ____ but at least ____

A

no more than q96hr but at least every 7 days

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11
Q

what should you document in EHR when you start an IV (list at least 6 things)

A
  1. size
  2. how pt tolerated it
  3. IVF infusing or saline lock
  4. “clean, dry, and intact”
  5. location
  6. number of attempts
  7. what was drawn
  8. dressing used
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12
Q

what should you document when you DC an IV

A
  1. appearance of site
  2. dressing applied
  3. *cannula intact?
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13
Q

list the three complications of IV therapy

A
  1. infiltration
  2. phlebitis
  3. extravasation
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14
Q

define infiltration

A

fluid/meds that have leaked into the subcutaneous tissue

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15
Q

define phlebitis

A

inflammation of the vein

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16
Q

define extravasation

A

vesicant medications have leaked into the surrounding tissue

17
Q

signs/sx of infiltration

A

edema, pale/cool skin, burning, tightness, DEC/stopped flow rate

18
Q

signs/sx of phlebitis

A

erythema, warmth, tenderness at IV site, streaking along vein path

19
Q

signs/sx of extravasation

A

blanching, swelling, burning, cool skin, IV site blistering/skin sloughing, necrotic tissue

20
Q

steps to take when extravasation occurs

A
  1. STOP and remove IV
  2. tell physician
  3. assess for 5 P’s of perfusion
  4. trace an edge around the area
21
Q

5 p’s of perfusion

A

pallor, pulse, pain, paralysis, parathesia

22
Q

list the 6 colors and gauges of angiocaths in order (smallest to largest)

A
  1. yellow 24
  2. blue 22
  3. pink 20
  4. green 18
  5. grey 16
  6. orange 14
23
Q

what are yellow and blue angiocaths used for

A

yellow (24) and blue (22) are for fragile veins

24
Q

what is a pink angiocath usually used for

A

pink (20) angiocaths are multipurpose for fluid and med admin, also the minimum size for blood

25
Q

what is a green angiocath used for

A

green (18) is for transfusions, large vol infusion

26
Q

what is a grey angiocath used for

A

grey (16) is for trauma, surgery, mult infusions

27
Q

what is an orange angiocath used for

A

orange (14) massive trauma

28
Q
  • tube colors for blood draws:
  • light blue =
  • lavender =
  • light green =
  • dark green =
  • pink =
  • red =
  • grey =
A
  • tube colors for blood draws:
  • light blue = coagulation (PT, PTT, APTT, INR, Coumadin)
  • lavender = blood counts (CBC, WBC, platelets)
  • light green = chemistry panel (electrolytes, glucose)
  • dark green = troponin (CP)
  • pink = T&C, transfusions
  • red = therapeutic drug levels
  • grey = lactate on ice (sepsis?)
29
Q

when looking for a vein to start an IV the key is to go ____ to ___

A

DISTAL TO PROXIMAL

30
Q

4 reasons you would not use an area for IV access

A
  1. dialysis shunt or AV fistula
  2. side of mastectomy
  3. side with previous IV complications
  4. burning/scars

Fundamentals B (16 decks)

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