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Nursing Skills

Test 4 - IV

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Replacement of electrolytes, Medications, Total Parental Nutrition, Blood/Product, Provide port for blood to be withdrawn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