Blood draw/ IV pract Word Scramble
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Question | Answer |
What is the order you draw blood in. | blood cultures, red/pink, blue, green, purple, gray |
What gauge is pink? | 20 gauge |
What gauge is Blue? | 22 gauge |
What gauge is green? | 18 gauge |
What gauge do you need if the pt is going to be recieving blood? | atleast a 20 gauge |
Where do you start trying to find a vein for a IV? | Distally |
What vein do you usually draw blood from? | AC |
What do you flush the IV with? | Nacl |
For inserting a IV, when you see the flash of red (blood) what do you do next? | Pull blue (tourniquet) |
How do you stabilize the vein when doing a blood draw? | Anchor the vein with you thumb |
What gauge is yellow? | 24 gauge |
What gauge is gray? | 16 guage |
Local complications of an IV? | Thrombosis, Phlebitis, Infiltration, Extravasation |
What is the 1st thing you do when you are going to do a blood draw? | WASH YOUR HANDS! |
What do you do after you wash your hands? Before you even go into the room. | Identify ordered tests and verify the physicians order |
What do you do after verifying the order? | Gather supplies |
What is the first thing you do when you get into the pt room (after washing your hands)? | Identify pt, provide privacy and explain the need for the blood sample. |
At what angle do you insert the needle for a blood draw into the pt arm? | 15-30 degrees |
Is the bevel up or down? | Up |
What do you do to assure adequate missing the tube additives? | Gently rotate the speciman |
When do you remove the tourniquet on a blood draw? | While the last tube is filling |
After you remove the needle from the site on a blood draw what do you do next? | Apply pressure to puncture site until bleeding stops. |
After applying a adhesive bandage what do you want to match the speciman labels to? | Patients ID bracelet |
What needs to be on a specimen label? | Pt name, ID #, time/date of collection, lab test ordered, and your initials |
What do you put the tubes in before transport to the lab? | Biohazard bag |
Where do your sharps go? | Sharps contianer |
Make sure you check the site on a blood draw one last time for what? | Hematoma |
After you check the site one last time for a hematoma then you can remove what? | your gloves |
What is the last thing you do for the pt? | Postion pt comfortably and lower bed, call light, water. And ask if there is anything else you can do for them. |
What is the last thing you do before leaving the room? | Wash your hands! |
Why would you want to avoid a certian arm? | dialysis graft/fistula, or mastectomy |
What do you cleanse the IV site with? | Chlorhexidine |
What angle should you insert the needle at for a IV insertion? | 20-30 degrees |
When do you return to check the flow rate and observe the IV site for infiltration? | 30 min |
Why do you need to return and check the flow rate? | If the pt moves the flow may increase or decrease depending on the position |
The MD has ordered 50mL of dextran to be infused over 24 hours for you 44y.o. pt. How many mL/h should the IV pump be programmed for? | 20.8 mL/hr |
A 78y.o. malnourised pt has an order for 50 mL of Intralipid 10% to be infused over 6 hrs IV. How many mL/hr should the IV pump be programmed for? | 8.3 mL/hr |
A 48y.o. pt with sepsis has an order for Kefzol 1 g in 50 mL of D5W IVPB over 15min. The drip factor is 60 gtt/mL. How many gtt/min should be given? | 200 gtt/min |
a 55y.o. pt with anuria has an order for 1000mL of 0.9% NS to be infused over 1 hour. The tubing drop factor is 10gtt/mL. How many gtt/min should be given? | 167 gtt/min |
How many lbs are in 1 Kilogram? | 2.2 lbs |
What do you round to for adults. The nearest what? | tenth |
Round to the nearest what for children? | hundredth |
What are the most common Drip factors? | 10,15,60 |
2000mL of D5W to be infused over 24 hrs. Find how many mL/hr you need to set the pump at. | 83.3 mL/hr |
D5W is ordered to infuse at 83 ml/hr. The DF is 10 gtt/mL. How many gtt/min with you infuse? | 14 gtt/min |
Created by:
nate7722
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