Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

TERM 3 N2160 SKILLS 3 > WEEK 7 IVS > Flashcards

WEEK 7 IVS Flashcards

1
Q

How often should peripheral IVs be changed?

A

q3days or according to hospital policy

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

What are 3 places a central venous cathether can be placed?

A

Jugular, subclavian, or femoral veins

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

What are 3 places a peripherally inserted central catheter can be placed?

A

Brachial, basilic, or brachial veins

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

How can you usually tell the difference between a central line and a peripheral line?

A

Central lines usually have 2 IV ports and are usually in the upper arm

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

What is the formula used to determine how much IV fluids needed to maintain a client’s hydration?

A

35-50 ml/kg of body weight/day

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

What resource can you use to determine which drug administration method to use?

A

Parenteral drug therapy manual

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

After priming an IV line, how often should it be changed?

A

q3days

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

If infusing via gravity, what should be added after priming an IV line?

A

“time tape” indicating infusion rate

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

What does blood in the IV tubing indicate?

A

Lowered pressure in IV line

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

How often are IV lines assessed?

A

At start of shift and q1-2h

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

What are you assessing at the IV site?

A

Checking for swelling, redness, pain, or differences in temperature compared to other extremity.

Also check the dressing is intact.

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

How often should IV bags be changed to minimize risk of contamination?

A

q24hr

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

What do you need to find out before documenting on the fluid balance sheet?

A

What times the subtotals are to be done

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is an example of an isotonic solution?

A

0.9% NaCl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do isotonic solutions work?

A

Expand the intravascular space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are 3 conditions isotonic solutions are used to treat?

A

Hypovolemia, dehydration, and maintaining fluid status in NPO patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is an adverese effect associated with isotonic solutions?

A

Fluid overload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are 3 examples of hypertonic solutions?

A

D5NS, 3%NaCl, D10W

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do hypertonic solutions work?

A

Draw water out of cells into blood

20
Q

What are 3 conditions hypertonic solutions are used to treat?

A

Hyponatremia, hypoglycemia, third spacing

20
Q

What risk is associated with isotonic solutions?

A

Fluid overload

21
Q

What is an adverse effect of hypertonic solutions?

A

Fluid overload

22
Q

What is an example of a hypotonic solution?

A

0.45%NaCl (half normal saline)

23
Q

How do hypotonic solutions work?

A

Draw water out of blood into cells

24
Q

Why would you administer a hypotonic solution?

A

Treating cellular dehydration caused by vomiting, diarrhea, or diuretics

Promote waste elimination by kidneys

25
Q

What are 3 adverse effects of hypotonic solutions?

A

Increased intracranial pressure

Third spacing

Cardiovascular collapse

26
Q

What are 4 signs of fluid overload?

A

Increased blood pressure

Ascites

Peripheral edema

Pulmonary edema (crackles)

27
Q

What are signs of air embolism?

A

Decreasing blood pressure, weak pulse (heart)

Dyspnea, cyanosis (lungs)

Confusion, one sided weakness (brain)

28
Q

How is hematoma prevented when removing an IV?

A

Applying firm pressure for 1 minute

29
Q

What are signs that an IV is interstitial?

A

Skin is swollen, tight, and cool to touch

30
Q

How can you assess at the IV site that the line is in the vein?

A

Apply pressure to occlude the vessel

31
Q

What is the term for administration of IV medications (not fluids) into the tissues?

A

Extravasation

32
Q

What are 3 kinds of phlebitis?

A

Mechanical, chemical, bacterial

33
Q

What is the first sign of phlebitis?

A

Tenderness at site

34
Q

What may be palpated in a patient with phlebitis?

A

Venous cord

35
Q

What is meant by the term “drop factor”?

A

The number of drops that must fall to equal 1mL

36
Q

Infusion sets with a drop factor of 10-20 gtt/ml are called what?

A

Macrodrip

37
Q

Infusion sets with a drop factor of 60 gtt/ml are called what?

A

Microdrip

38
Q

What is the formula to calculate drip rate?

A

gtt/min = flow rate (ml/hr) x drop factor (gtt/ml) x time conversion (1 hr/60 min)

39
Q

After calculating the drip rate of drops per minute, what is the next step?

A

Divide by 4 to get drops per 15 seconds

40
Q

What are 3 factors that affect flow rate?

A

Temperature (warm fluids are faster)

Height (higher bag is faster)

Patient position (it changes the position of the bag in relation to the patient)

41
Q

What are 2 types of IV infusion pumps?

A

Volumetric pump (Alaris)
Syringe pump

42
Q

What is one reason why you would use a pump over gravity?

A
43
Q

What are 6 circumstances that you would always use a pump over gravity?

A
  1. Central line
  2. High risk of fluid overload (e.g. CHF, renal failure)
  3. Heparin, morphine, insulin, potassium, aminophylline
  4. Patient has extremely poor veins
  5. Elderly, frail, pediatric
  6. Infusion rate less than 60 cc/hr
44
Q

What flow rate is TKVO?

A

5 cc/hr

TERM 3 N2160 SKILLS 3 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions