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IV Insertion 519A

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Question
Answer
What is essential information that a nurse needs to know to identify an appropriate IV therapy order?   Appropriate IV therapy order: Solution, Route, Rate, Time Frame  
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What is essential information the nurse needs to know about Patient history before IV?   IV experience, Allergies, Comorbities, Medications  
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What can you do to prepare the patient for the IV?   Educate them and provide comfort through positioning, nonpharmacologic measures, anesthetic use etc  
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What do you need before you start?   Prepared patient, towel/chux, sharps disposal, gloves, tourniquet, IV site prep, IV catheter, Gauze, T-connector and flush, tape, IV dressing  
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What are the sizes, colors, and use of the catheters?   24g pediactric/frail elder, 22g Blue Smallest for adults IVF's & Abxs low flow, 20g Pink Blood products hypertonic sol., 18g Green OR,L&D, blood high flow, 16g Yellow OR, Trauma  
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Where do you start when locating a vein?   Start most distal and move proximal  
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What are the characteristics of a good vein?   Superficial, smooth (lumpy=multiple valves), bouncy, no pulsation, avoid vein bifurcation, not close to joint, skin is normal  
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If there is no option for a peripheral IV then what?   Peripherally Inserted Central Catheter (PICC Line)  
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What are the steps for preparing the IV site?   Select area for clensing, remove hair PRN, apply tourniquet ~ 6 in above site, put on gloves, swab site with appropriate prep ~3 in in diameter, let dry for 30seconds, do not touch  
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What are the steps of the IV catheter insertion?   Prepare all supplies, Identify patient with 2 identifiers, Position patient and nurse, Angiocatheter in dominant hand bevel up, Anchor vein with non-dominant, Advance catheter quickly, enter vein, advance IV catheter.  
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What are the steps for advancing the Cannula?   Floatin cannula into vein, advance it 1/3 to 1/2 its length or until there is flashback, release tourniquet and remove stylet, attach iv fluid and advance cannula  
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What are the steps after advancing the IV catheter?   Release tourniquet, hold IV catheter stady, remove sylet, attach T connector or tubing, Anchor IV with tape, Cover IV with transparent dressing, label, flush IV tubing and catheter  
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How do you properly label an IV dressing?   Date, time, initials, size of catheter  
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What do you document after IV insertion?   Time & date, location of site, gauge, length of catheter, type of catheter, # of attempts & complications, type of dressing, status of IV site, client response to procedure  
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What are some signs of an unsuccessful insertion?   Loss of blood return, Severe pain, During Flushing-vein puffs up, No blood return  
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What do you do with an unsuccessful IV insertion?   Explain to patient, DC IV, apply pressure, and plan for next site (proximal or opposite arm). Two strikes your out  
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