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IV access

QuestionAnswer
Peripheral IV needle NOT left in patients arm shorter for superficial veins and shorter IV therapy longer for superficial or deep veins, longer IV therapy
Guage higher number = smaller gauge
14, 16, 18 gauge trauma, rapid infusion
20 gauge adult standard
22 gauge NO blood
24 gauge Peds
Midline catheter Peripheral access ( basilic, cephalic, brachial) Need ultrasound to insert 5-14 day IV therapy
Midline contraindications History of thrombosis hypercoaguability ESRD
Primary tubing changes every 4 days
secondary tubing changes every 24 hrs
Thrombosis complication BLOOD CLOT - erythema, induration, slowed infusion stop, remove, notify warm compress do NOT massage
Air embolism complication Break in IV system above the heart RAPID RESPONSE clamp catheter respiratory distress, tachycardia, cyanosis left trendelenburg
Fluid overload complication JVD, weight gain, crackles, dyspnea, increased BP notify provider decrease infusion rate vitals
Unexpected removal hold pressure restart IV educate
CVAD indications chemo TPN hyperosmolar solutions and vasopressors hemodynamic monitoring inability to obtain peripheral IV
Peripherally inserted central catheter Inserted antecubital by ultra sound into SVC high risk of infection
non-tunneled central line EMERGENCY can be placed at bed side IV therapy for less than 14 days includes last resort femoral lines, needs to be removed ASAP
Tunneled central line Placed in OR 3-6 IN in subcutaneous skin less risk of infection because site heals LONG-TERM
Created by: mdedobbe
 

 



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