Test 4 - IV
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| 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Replacement of electrolytes, Medications, Total Parental Nutrition, Blood/Product, Provide port for blood to be withdrawn
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| Method of infusion whose flow rate is adjusted through the use of a flow control roller clamp | Gravity
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| Method of infusion where fluids are infused by a controller at a prescribed rate | Mechanical Pump
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| What three factors might affect the flow rate that is controlled by a pump? | Occlusion of IV tubing, air in line, low battery
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| 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
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| Continuous infusion rate are generally between ___ to ____ ml/hr | 10-250
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| TKO means | To keep open rate
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| KVO means | Keep vein open rate
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| People who receive antibiotics with a mini bag receive them on a ____ basis | Intermittent
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| Site that is started in the hand, forearm or in the scalp of an infant | Peripheral
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| Is the peripheral IV site permanent or temporary? | Temporary
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| How often is the peripheral IV site changed? | 72-96 hrs, every 3-4 days
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| What are the four types of central lines | PICC, Non-tunneled Central Line, Tunneled Central Line, Mediport
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| The PICC line is inserted into the ____ through a ____. | Superior vena cava, peripheral vein
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| Who inserts a PICC? | MD, specially trained RN
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| How are PICC lines secured? | Sutures or steri-strips
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| Who places a non-tunneled CVC line? | MD
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| Where is the non-tunneled CVC line into? | Subclavian or jugular vein
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| Where does the tip of a non tunneled CVC line rest? | Right atrium
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| What is a non-tunneled CVC line secured with? | Sutures
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| What type of central line has the most complications? | Nontunneled CVC
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| Type of central line that is DIRECT and tunneled | Tunneled central line
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| The tunneled central line is direct into the ____ and _____. | Subclavian vein and superior vena cava
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| What is the exit site for the tunneled line? | Chest wall
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| What anchors the central line near the exit site under the skin of a tunneled line? | Dacron cuff
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| What are three examples of tunneled lines? | Groshong, Kickman, Broviac
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| What type of central line is surgically implanted under the skin? | Mediport
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| How is a mediport accessed | With a huber needle
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| Does the mediport have an external connector? | No
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| What is the best type of central line for long term use? | Mediport
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| CVC means | Central Venous Catheter
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| 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
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| Be aware of _______ in children. | Fluid overload
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| 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
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| Needle out of vein and into tissue is called | Infiltration
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| What are three signs of infiltration? | Site is swollen, cool to touch, painful
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| Inflammation of the vein is called | Phlebitis
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| What are the three signs of phlebitis? | Redness, warm, pain
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| Can medication being infused cause phlebitis? | Yes
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| Too much fluid in the system can cause | Edema/fluid overload
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| What are three signs of fluid overload? | Crackles in lungs, shortness of breath, moist cough
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| 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
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| How often should the IV bag be changed? | At least every 24 hours
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| How often should IV tubing be changed? | 72-94 hours depending on agency policy
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| How often should TPN tubing be changed? | Every 24 hours
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| How often should the IV tegaderm be changed? | As needed or per agency policy.
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