front 1 MUST FOLLOW OSHA STANDARDS ALWAYS the following are: | back 1
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front 2 when should you flush the catheter? | back 2 before and after |
front 3 why is a tourniquet used? | back 3 to cause an increase pressure to make it easier to see the vein. -always check allergies prior To know which cleaning solution to use on the patient. -be sure to use appropriate solution for equipment |
front 4 should you air dry or blow on the skin ? | back 4 always let the skin dry prior to inserting the IV! NEVER BLOW- let it air-dry to avoid getting germs onto skin. |
front 5 do you need an order to start an IV? | back 5 must have an order to insert on IV |
front 6 documenting on iv insertion | back 6 check your order > check date/time to start the infusion, solution, route, dose, rate, and duration |
front 7 what kind of gauge should blood go into? | back 7 NEVER go into a gauge smaller than 20 |
front 8 proper assessment to prevent complications | back 8 never put in on a limb alert arm or one that has a fistula. |
front 9 what is a preferred site ? | back 9 metacarpal veins (hand) -chose a straight vein with normal vasculature |
front 10 (T/F) never work toward your fingers, always want the catheter go in the direction of your heart | back 10 true -begin distal veins and work your way up. - non dominant arm preferred but not required |
front 11 dorsal digital veins (finger veins) | back 11
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front 12 metacarpal veins (hand veins) | back 12 considered primary IV site; first choice for site selection |
front 13 cephalic vein (thumb side) | back 13 can accommodate large bone needles |
front 14 basilic vein (pinky side) | back 14
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front 15 is it okay to put iv lines in a diabetic's foot? | back 15 NO, never put iv lines in a diabetics foot |
front 16 to insert an iv in the lower extremities, are you able to make that call as the nurse? | back 16 no, need DR. order in order to insert an iv in the lower extremities |
front 17 If you insert an IV in a varicose vein, what can happen to your patient? | back 17 you can cause the patient to bleed |
front 18 pediatric patients require what kind of tubing? | back 18 microdrop tubing, PUMPS ONLY!` |
front 19 facts about older adults | back 19
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front 20 in older adults receiving fluids, what would you want to assess? | back 20 check their lung sounds to ass for possible fluid overload |
front 21 16 gauge (gray) given for : | back 21
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front 22 18 gauge(green) | back 22
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front 23 20 gauge (pink) | back 23 is the most commonly used |
front 24 22 gauge (blue) | back 24 smaller veins |
front 25 24 gauges (yellow) | back 25
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front 26 if you are having trouble visualizing/ dilating veins? | back 26 have patient dangle their arm for several minutes |
front 27 how long should a tourniquet stay on for ? | back 27 no longer than 2 minutes ! |
front 28 when inserting an iv, what technique should be used? | back 28 maintain aseptic technique |
front 29 where should the tourniquet be placed? | back 29 4-6 inches above insertion site |
front 30 if tegaderm is covering the whole band, you should: | back 30 clean the whole area to avoid trapping germs in that area |
front 31 things to know when inserting: | back 31
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front 32 once you insert your iv, you wan to watch for what? | back 32
-always be sure to have equipment primed and ready to go prior to inserting iv |
front 33 aspirating | back 33 when you draw back and see blood |
front 34 how often should you change dressing ? | back 34 Q 12 hrs; or per facility policy
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front 35 why shouldn't you use, alcohol when removing an IV? | back 35 it will prolong bleeding time |
front 36 when removing catheter, what do you want to check? | back 36 always check the catheter when removed to be sure it is in tact |
front 37 rapid IV fluids | back 37 use 16-18 gauge to have better flow to receive medication faster |
front 38 pre op patient | back 38 18-20 gauge site- forearm |
front 39 older adult (fragile skin) | back 39 22-24 gauge metacarpol |
front 40 child requiring short- term | back 40 gauge 24, they have smaller veins/scared of needles (comfort) school age- 22 gauge |
front 41 ideal gauge for blood transfusion ? | back 41 18 gauge |
front 42 patient on long term therapy | back 42 site: upper arm and peripheral/ central line |
front 43 potassium | back 43 dilute it on a pump to avoid burning sensation |
front 44 extravasation | back 44 leaking |