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IV Therapy Exam

Ms. Jackson IV Certification Exam

QuestionAnswer
What is a peripheral IV? A peripheral IV line consists of a short catheter (a few centimeters long) inserted through the skin into any vein that is not in the chest or abdomen such as the arm, hand, leg, or foot to give fluids or medicines directly into the bloodstream.
What does the drip chamber do? Fluid in drip chamber will run slowly to keep catheter patent
When on an electric pump what does the amount represent?
Why is lactate ringers used in surgery? A type of intravenous fluid which mimics the chemistry of human blood is often used for volume eplacement after a blood loss due to trauma, surgery, or a burn injury.
What are common IV gauges used to start IV? 18, 20 or 22 gauge
Define flow rate? The amount of drops per minute of the medication being infused
Understand Blood transfusion Must have a physician order, must have informed consent, educate pt on purpose, risk factors and adverse reactions, must have verification
What are some factors on choosing an IV? Reason for placement, length of time needed, type of administration, diagnosis and health history, condition and location of skin and veins
Where is a central line catheter tip located? In the superior vena cava within the right atrium of the heart
Why is IV therapy used? Fluid volume replacement, faster route of drug and electrolyte replacement and faster aborption or uptake of medication
What is the difference between PO and IV absorption? Medications via PO must go through the GI tract before being absorbed whereas with an IV the medications are aborbed quickly
When is an IV due to be changed? Every 72 hours
When is the IV tubing due to be changed? Every 72 hours
What are the parts to IV tubing?
Snaps, Click lock or needleless device are used to prevent what?
What is a micro drop? 60 gtts/mL
What is a macro drop? l0, 15 or 20 gtts/mL
What is the only fluid that is used with blood transfusions? After an informed consent has been signed, a primary IV infusion of 0.9% or sometimes 0.45% normal saline is initiated
What is a saline lock? A saline (heparin) lock is a peripheral IV device. It is a short IV line that has been locked off to prevent venous fluid from flowing out. It is primarily used to access a vein for intermittent IV drug therapy.
How often should a SL be flushed? Every 4 hours and before and after administering meds
What does SAS stand for? Saline/administrate/Saline
When is the critical time during a blood transfusion? The first 15 minutes
How should the bevel be inserted? Up
Why are IV sites assessed? For the condition and location of skin and veins.
How often should an IV be assessed when fluids are infused? Every 2 hrs on adults and every hour on children
Where should the primary line be when a secondary line is being used? Lower than the secondary line.
What are some things to know before giving IV medication? Check physician order, 5 rights, drug compatibility, ck label for administration instruction, purpose and potential reactions to the medication
What is the smallest IV gauge expectable to use with blood transfusions? 18 or 20 gauge
What is TPN through? TPN is delivered via central line only
Why do we use TPN? Used for the patient who is unable to take nutrition orally for extended periods of time
How is TPN managed? TPN is ordered every day based on daily chemistries, including blood suger checks every 4-6 hours, assess input/output and vitals
When is the TPN bag changed? Every 24 hours
How is TPN dscontinued? Weaning the patient off of TPN over 24 hours
What are the signs and symptoms of the IV complication Phlebitis? Warm, edematous, hard, painful, erythema
What are the signs and symptoms of the IV complication Infiltration? Cool, edematous and tender
What are complications of blood transfusion? Patients experiencing transfusion reactions frequently say they are “not feeling right.”, may have chills, fever, low back pain, pruritus, hypotension, nausea and vomiting, decreased urine output, chest pain, and dyspnea.
What are the interventions for blood transfusion complications?
What may be committed if permission is not received?
What are localized complications for IV? Phlebitis, Infiltration, Dermis infection and extravasalations of caustic drug
How are loclized IV complications treated?
What are the signs and symptoms of a dermis infection related to an IV complication ? Warm, erythema edematous possible excaudate and painful
What are the signs and symptoms of the IV complication related to extravasations of a caustic drug? Color changes, painful, possible erythemia
Name some systemic IV complications? Allergic reactions, sepsis, air embolism and shock
Each bag of blood must be infused within what time frame? Within 4 hours
Blood must be started within what time frame once it has been picked up from the blood bank? Within 30 minutes
What is a PICC line? Peripherally inserted central catheter PICC lines are used when intravenous access is required over a prolonged period of time, as in the case of long chemotherapy regimens, extended antibiotic therapy
What are the 6 rights of medication administration? the right patient, the right drug, the right dose, the right time, the right route and right documentation
the right patient, the right drug, the right dose, the right time, the right route and right documentation
Created by: bsmymicareo