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41 notecards = 11 pages (4 cards per page)

Viewing:

IV therapy exam 3- initiating IV therapy

front 1

must follow OSHA standards ALWAYS!

which are the following

back 1

  • hand washing before and after
  • wear gloves
  • no artificial nails
  • never reuse a needle or catheter
  • injection parts must be aseptically cleansed
  • scrub the hand for 15 seconds
  • swab caps required
  • never leave any used or unused needles left unattended

front 2

tourniquet is used to cause what?

back 2

an increase pressure to make it easier to see the vein

front 3

always check allergies prior to what?

back 3

  • to know which cleaning solution to use on the patient
  • be sure to use appropriate solution for equipment

front 4

always let the skin dry prior to inserting the iV

however, you NEVER do what?

back 4

never blow- let it air dry to avoid getting germs onto skin

front 5

always make sure to have supplies ready prior to getting started

T/F

back 5

true

front 6

do you need to have an order to insert an iV?

back 6

yess

front 7

when checking your order, you check for what?

back 7

date/time to start the infusion, solution, route, dose, rate, and duration

front 8

is it easier to insert an iv into a calm or anxious patient?

back 8

into a clam patient, if they are anxious it causes vasoconstriction in the veins

front 9

blood should NEVER going into a gauge smaller than what?

back 9

20 gauge

front 10

the smaller the catheter, the easier...

back 10

the easier it slows

front 11

proper assessment to prevent complications

back 11

never put in on a limb alert arm or one that has a fistula

front 12

which veins are the preferred site?

back 12

metacarpal (hard)

front 13

which direction do you want to work towards ?

back 13

never work toward your fingers, always want to working and the catheter is going in the direction of your heart

  • begin with distal veins and work your way up
  • non-dominant arm preferred but NOT required

front 14

Dorsal digital veins (finger veins)

back 14

  • small gauges
  • support with board or tongue blade

front 15

metacarpal veins (hand vein)

back 15

considered primary IV site; first choice for site selection

front 16

cephalic vein (thumb side)

back 16

can accommodate large bone needles

front 17

basilic vein (pinky side)

back 17

  • often used for PICC lines
  • good choice for peripheral lines as well

front 18

do you put IV lines in diabetics feet?

back 18

NEVER put IV lines in diabetics feet!

front 19

does the DR. need to order a IV insertion in the lower extremities?

back 19

yes, you as the nurse cannot make the call

front 20

knowing how long to leave on a tourniquet is very important, why?

back 20

to avoid causing damage make that call!

front 21

do you want to insert an IV in a varicosed vein?

back 21

NOOOO, NEVER! can cause patient to bleed

front 22

pediatrics require what kind of tubing?

back 22

microdrop tubing and PUMPS ONLY!

front 23

older adults facts

back 23

  • lower, slower infusions
  • frequent lung assessment
  • extra padding and securement to protect skin

front 24

in older adults that are receiving fluids, what do you want to assess?

back 24

check the lung sounds to assess for possible fluid overload

front 25

the bigger the number the smaller the catheter

factsss or false

back 25

facts

front 26

16 gauge

GRAY

back 26

traumas, emergencies, blood products

front 27

18 gauge

green

back 27

traumas, emergencies, blood products

front 28

20 gauge

pink

back 28

most commonly used

front 29

22 gauge

blue

back 29

smaller veins

front 30

24 gauge

yellow

back 30

pediatrics, elderly, very small veins

front 31

trouble visualizing idialating veins ?

back 31

have patient dangle their arm for several minutes

front 32

how long should a tourniquet stay on for?

back 32

no more than 2 minutes

front 33

where do you want to play the tourniquet ?

back 33

4-6 inches above insertion site

front 34

Cleansing Skin

back 34

center then outward 2-3 inches with chlorahexidine (chloraprep), or alcohol, or bedtime

  • allow to dry
  • check allergies
  • don't touch after cleansing

front 35

performing venipuncture with IV catheter

back 35

  • needle bevel up
  • 15-30 degree angle

front 36

when you see a ''FLASH OF BLOOD" in the cannula, after inserting the IV needle, what do you do next?

back 36

advance the catheter 1/4-1/2 inches to ensure the needle is all the way in.

-flush line to be sure its patent; may also aspirate for blood

front 37

things to remember when inserting the IV catheter

back 37

  • hold the stylet in place and remove the tourniquet
  • THEN remove the stylet
  • attach PRIMED extension set, aspirate for blood return then flush (assess for infiltration)
  • apply transparent dressing to the site (secure the extension tubing with tape)
  • label the IV site with date-time-gauge-initals
  • document- including site,gauge,dressing,complications,attempts, did pt tolerate &how

front 38

why do you want to check for infiltration prior to giving any medications/ IVFS

back 38

  • can aspirate for blood
  • flush line
  • check surrounding area of IV site

front 39

factsss about flushing an iv site

back 39

  • flush every shift or every day- check policy
  • 3-10 ml NS
  • when flushing do NOT force if you meet resistance (do further assessment)

front 40

IV site dressings

back 40

  • transparent dressings should be used in order to monitor the IV site closely (tegaderm)
  • change dressing as per facility policy or Q 72 hours
  • change PRN if soiled or loose

front 41

when discounting an IV catheter

back 41

  • LPN IS ABLE TO PERFORM
  • gloves needed
  • stop IV infusion if applicable & detach from IV catheter
  • loosen tape
  • Hold IV site with a 2x2 gauze - DO NOT USE ALCOHOL- will prolong bleeding time
  • pull catheter out while holding the gauze over the catheter site
  • hold pressure x 1 minute
  • apply dressing/band aid
  • check site
  • check for intact catheter after its removed, discard and document removal
  • catheter are radiopaque-can be seen on x-ray