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Viewing:

retype of notes for iv exam 2- remember !

front 1

methods of iv infusions

primary

aka: maitenace or continuous

back 1

  • continuous infusion
  • maintenance infusion
  • can run via gravity or electric pump

front 2

examples of primary infusions

back 2

  • NS @ ml/hr
  • NS with 40 meg KCI at 80 ml/hr
  • 1/2 NS at 125 ml/hr

front 3

priming is done in order to remove all of the air from the tubing

(t/f)

back 3

true

  • maintain sterility
  • close the roller clamp first before priming the tubing

front 4

methods of infusion

secondary

aka: IV piggy-back (IVPB)

back 4

  • connects to the HIGHEST point on the primary infusion line
  • when hanging, be sure that it is compatible with the primary infusion

front 5

in order to prime a secondary line you can back prime

back 5

back priming - connect secondary line to the highest point of the primary line, hold the secondary bag lower than the primary and the fluid will flow into the tubing of the secondary line

front 6

methods of infusion

blood administration

back 6

  • blood products MUST be on a pump
  • y-set tubing is for blood products
  • the saline does NOT run during the blood transfusion
  • prime the saline line first, then prime the blood

front 7

  • electronic pumps

back 7

  • pumps will improve the accuracy of delivery of medications
  • can be single-channel or multi-channel
  • pumps will deliver a present fluid rate over a specified period of time

front 8

ALWAYS use a pump with central lines, TPN, titratable medications and blood/blood products

(T/F)

back 8

TRUE

front 9

ELECTRONIC PUMP ALARMS

occlusion

back 9

kinked tubing, IV in A/C, blood clot

front 10

electronic pump alarms

air-in line

back 10

check entire length of tubing, disconnect from patient and remove air

front 11

electronic pump alarms

infusion complete

back 11

check infusion to be sure the infusion is truly complete or if it needs to be reprogrammed to meet the VTBI

front 12

electronic pump alarms

power

back 12

pump must be plugged in often to maintain battery charges

front 13

rate of IV infusion

back 13

  • check the orders
  • gravity drip or electronic pump
  • check IV site & IV rate least EVERY hour

front 14

height of bag

how many inches do you keep above the heart?

back 14

keep 36 inches above the heart

front 15

slowed infusion rate

back 15

  • check tubing for kinks
  • check clamps- are they closed?
  • check iv sit
  • e- irritation, catheter can be compressed and/ or clotted

front 16

change IV tubing and iv site, how often?

back 16

every 72 hours or per facility policy

CHECK iv SITE HOURLY