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Blood draw/ IV pract

Blood draw/IV practicum bsn

QuestionAnswer
What is the order you draw blood in. blood cultures, red/pink, blue, green, purple, gray
What gauge is pink? 20 gauge
What gauge is Blue? 22 gauge
What gauge is green? 18 gauge
What gauge do you need if the pt is going to be recieving blood? atleast a 20 gauge
Where do you start trying to find a vein for a IV? Distally
What vein do you usually draw blood from? AC
What do you flush the IV with? Nacl
For inserting a IV, when you see the flash of red (blood) what do you do next? Pull blue (tourniquet)
How do you stabilize the vein when doing a blood draw? Anchor the vein with you thumb
What gauge is yellow? 24 gauge
What gauge is gray? 16 guage
Local complications of an IV? Thrombosis, Phlebitis, Infiltration, Extravasation
What is the 1st thing you do when you are going to do a blood draw? WASH YOUR HANDS!
What do you do after you wash your hands? Before you even go into the room. Identify ordered tests and verify the physicians order
What do you do after verifying the order? Gather supplies
What is the first thing you do when you get into the pt room (after washing your hands)? Identify pt, provide privacy and explain the need for the blood sample.
At what angle do you insert the needle for a blood draw into the pt arm? 15-30 degrees
Is the bevel up or down? Up
What do you do to assure adequate missing the tube additives? Gently rotate the speciman
When do you remove the tourniquet on a blood draw? While the last tube is filling
After you remove the needle from the site on a blood draw what do you do next? Apply pressure to puncture site until bleeding stops.
After applying a adhesive bandage what do you want to match the speciman labels to? Patients ID bracelet
What needs to be on a specimen label? Pt name, ID #, time/date of collection, lab test ordered, and your initials
What do you put the tubes in before transport to the lab? Biohazard bag
Where do your sharps go? Sharps contianer
Make sure you check the site on a blood draw one last time for what? Hematoma
After you check the site one last time for a hematoma then you can remove what? your gloves
What is the last thing you do for the pt? Postion pt comfortably and lower bed, call light, water. And ask if there is anything else you can do for them.
What is the last thing you do before leaving the room? Wash your hands!
Why would you want to avoid a certian arm? dialysis graft/fistula, or mastectomy
What do you cleanse the IV site with? Chlorhexidine
What angle should you insert the needle at for a IV insertion? 20-30 degrees
When do you return to check the flow rate and observe the IV site for infiltration? 30 min
Why do you need to return and check the flow rate? If the pt moves the flow may increase or decrease depending on the position
The MD has ordered 50mL of dextran to be infused over 24 hours for you 44y.o. pt. How many mL/h should the IV pump be programmed for? 20.8 mL/hr
A 78y.o. malnourised pt has an order for 50 mL of Intralipid 10% to be infused over 6 hrs IV. How many mL/hr should the IV pump be programmed for? 8.3 mL/hr
A 48y.o. pt with sepsis has an order for Kefzol 1 g in 50 mL of D5W IVPB over 15min. The drip factor is 60 gtt/mL. How many gtt/min should be given? 200 gtt/min
a 55y.o. pt with anuria has an order for 1000mL of 0.9% NS to be infused over 1 hour. The tubing drop factor is 10gtt/mL. How many gtt/min should be given? 167 gtt/min
How many lbs are in 1 Kilogram? 2.2 lbs
What do you round to for adults. The nearest what? tenth
Round to the nearest what for children? hundredth
What are the most common Drip factors? 10,15,60
2000mL of D5W to be infused over 24 hrs. Find how many mL/hr you need to set the pump at. 83.3 mL/hr
D5W is ordered to infuse at 83 ml/hr. The DF is 10 gtt/mL. How many gtt/min with you infuse? 14 gtt/min
Created by: nate7722