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Nursing Skills
Test 4 - IV
| Question | Answer |
|---|---|
| What are reasons why an IV would be used? (7) | Hydration, Maintenance, Replacement of electrolytes, Medications, Total Parental Nutrition, Blood/Product, Provide port for blood to be withdrawn |
| Method of infusion whose flow rate is adjusted through the use of a flow control roller clamp | Gravity |
| Method of infusion where fluids are infused by a controller at a prescribed rate | Mechanical Pump |
| What three factors might affect the flow rate that is controlled by a pump? | Occlusion of IV tubing, air in line, low battery |
| What four factors might affect the flow rate that is controlled by gravity? | Height hung, movement/change in position, flexion of involved extremity, viscosity of fluids like blood |
| Continuous infusion rate are generally between ___ to ____ ml/hr | 10-250 |
| TKO means | To keep open rate |
| KVO means | Keep vein open rate |
| People who receive antibiotics with a mini bag receive them on a ____ basis | Intermittent |
| Site that is started in the hand, forearm or in the scalp of an infant | Peripheral |
| Is the peripheral IV site permanent or temporary? | Temporary |
| How often is the peripheral IV site changed? | 72-96 hrs, every 3-4 days |
| What are the four types of central lines | PICC, Non-tunneled Central Line, Tunneled Central Line, Mediport |
| The PICC line is inserted into the ____ through a ____. | Superior vena cava, peripheral vein |
| Who inserts a PICC? | MD, specially trained RN |
| How are PICC lines secured? | Sutures or steri-strips |
| Who places a non-tunneled CVC line? | MD |
| Where is the non-tunneled CVC line into? | Subclavian or jugular vein |
| Where does the tip of a non tunneled CVC line rest? | Right atrium |
| What is a non-tunneled CVC line secured with? | Sutures |
| What type of central line has the most complications? | Nontunneled CVC |
| Type of central line that is DIRECT and tunneled | Tunneled central line |
| The tunneled central line is direct into the ____ and _____. | Subclavian vein and superior vena cava |
| What is the exit site for the tunneled line? | Chest wall |
| What anchors the central line near the exit site under the skin of a tunneled line? | Dacron cuff |
| What are three examples of tunneled lines? | Groshong, Kickman, Broviac |
| What type of central line is surgically implanted under the skin? | Mediport |
| How is a mediport accessed | With a huber needle |
| Does the mediport have an external connector? | No |
| What is the best type of central line for long term use? | Mediport |
| CVC means | Central Venous Catheter |
| What are eight reasons that a CVC would be used? | Long term infusions, tolerate high volumes, TPN, long term antibiotic therapy, chemotherapy, more than one infusion, multiple ports, CVP monitoring |
| Be aware of _______ in children. | Fluid overload |
| Device that can be used to reduce the risk for fluid overload, especially in pediatrics. Can be used to deliver intermittent medications that need to be diluted further. | Buretrol or volume control device |
| Needle out of vein and into tissue is called | Infiltration |
| What are three signs of infiltration? | Site is swollen, cool to touch, painful |
| Inflammation of the vein is called | Phlebitis |
| What are the three signs of phlebitis? | Redness, warm, pain |
| Can medication being infused cause phlebitis? | Yes |
| Too much fluid in the system can cause | Edema/fluid overload |
| What are three signs of fluid overload? | Crackles in lungs, shortness of breath, moist cough |
| What are four “signs” that the IV line is patent? | Aspiration of blood, flows easily by gravity, capped IV flushes easily,site is non tender and non-swollen |
| How often should the IV bag be changed? | At least every 24 hours |
| How often should IV tubing be changed? | 72-94 hours depending on agency policy |
| How often should TPN tubing be changed? | Every 24 hours |
| How often should the IV tegaderm be changed? | As needed or per agency policy. |
Created by:
anastasia158
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