Week 2 secondary IV infusion Flashcards

1
Q

Can prefilled syrnges be used for dilution and reconstitution? Why or why not?

A

no
1. because the label says NS so any additional medication makes the label wrong
2. volume is “approximate” and not good for reconstitution

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2
Q

When do we do first check for mini bag?

A

When we gather supplies

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3
Q

When do we do second check for mini bag?

A

just before dilution (just before mini bag)

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4
Q

When do we do our third check for mini bag?

A

patient bedside

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5
Q

Do we use the MAR or Doctor’s order for mini bag and why?

A

MAR because the order doesn’t have the right “time”

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6
Q

how often must any IV tubing be changed?

A

96 hours or 4 days

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7
Q

Any tubing (primary or secondary) that is disconnected from the patient must be changed how often?

A

q 24 hrs

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8
Q

The 96 hour tubing rule does not apply to which solutions/liquids?

A

lipids
TNA
propofol
blood/blood products

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9
Q

Can we use the same tubing for a newly inserted central line that we used for peripheral?

A

no. must get new tubing

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10
Q

How many mL must we use to flush the line after piggy back medication is done?

A

15 mL - set pump

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11
Q

Can we leave the line connected if nothing is infusing into the patient and why?

A

no! b/c it will clot. Must saline lock.

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12
Q

Can we use prefilled syringes for dilution or resconstitution?

A

no! because the measurement isn’t accurate and it’s already pre-labeled NS so when meds are drawn into the syrnge its not accurate anymore

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13
Q

Can we use tubing that was infusing into a PVI for a new Central line?

A

no!

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13
Q

What does “total volume” include?

A

IV bag overfill amount
IV bag amount
injected med volume

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14
Q

Why should we not have multiple secondary sets?

A

increase chance of infection

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15
Q

what are the 2 reasons we backprime?

A
  1. air out of a set
  2. clear out old meds before spiking new meds (no mixing)
16
Q

what are the 2 reasons labs are ordered for Vancomycin?

A
  1. check therapeutic levels
  2. patient might need increased or decreased dose if levels are too high or low
17
Q

what is phlebitis?

A

irritation to the vein (like from a vesicant)

18
Q

Can vancomycin be safely handed and mixed by nurses?

A

yes- not harmful to hands

19
Q

Vesicant meds need to be administered proximal to existing IV sites. Where is this in proximity to the body?

A

The higher IV site (closer to the core).
distal is closer towards the fingers (away from the core)