Intravenous Therapy And Blood Administration

Front 1

IV gauges #

Back 1

the smaller the IV number the larger the outside diameter of the cannula

Front 2

IV gauges (rapid emergency size)

Back 2

14, 16, 18, 19 gauge

Front 3

IV gauge (standard size)

Back 3

22 or 24 gauge

Front 4

IV gauge (very small veins size)

Back 4

24 to 25 gauge

Front 5

IV containers nursing considerations

Back 5

1. check exp. date

2. use label and ball point pen(not marking pen)

Front 6

Two types of tubing

Back 6

vented and non vented

Front 7

Use __ tubing for __ or rigid __ to allow air to enter and displace the fluid as it leaves.

Back 7

vented
glass, rigid

Front 8

Microdrip

Back 8

Delivers about 60 gtt/ml
infused at a slow rate

Front 9

Macrodrip

Back 9

Delivers 10 to 20 gtt/ml
infused rapidly
solution is thick

Front 10

Ask the client about an allergy to ___. IV supplies contain ___.

Back 10

latex, latex

Front 11

Most frequently used sites are the ___ of the ___. Why?

Back 11

veins, forearm
the bones of the forearm act as a natural support or splint.

Front 12

___ on the __ extremities are not suitable bc of the risk of thrombus formation and pooling and in area w < venous return.

Back 12

veins, lower

Front 13

Suitable veins sites for infants

Back 13

scalp and feet

Front 14

IV solutions shouldbe checked against the __ __ for ___, __, __, __.

Back 14

physician order
type, amount, percentage of solution, and rate of flow.

Front 15

Steps to preparing a new IV solution?

Back 15

1. Clamp tubing
2. attach spike at the end of tubing to IV bag
3. Prime tubing to remove air

Front 16

Change IV tubing every __ to__ hours.

Back 16

24, 72 (depending on agency policy)

Front 17

Do not let the IV bag hang for more than __ hours.

Back 17

24

Front 18

ALWAYS __ the __ and __ IV tubing, dressing and solution was changed.

Back 18

label
date, time

Front 19

The risk of fluid (circulatory) overload exists with these clients..

Back 19

cardiac, resp, renal, liver, younger and older clients.

Front 20

A client with ___ is not given __ solution. Why?

Back 20

CHF, saline

it encourages fluid retention of water therefore exacerbates heart failure by ^ fluid overload.

Front 21

___ __ solution contains __ and should NOT be given to a client with RF>

Back 21

lactated ringers, K+

Front 22

If infection occurs __ is __. __ is notified.

Back 22

IV, discontinued
physician

Front 23

What is phlebitis?

Back 23

inflammation of the vein that can occur from mechanical or chemical(med) trauma or local infection

Front 24

what is infiltration?

Back 24

a form of tissue damage also called extravasation
occurs when the IV device has been dislodged and the fluid leaks into surrounding tissues.

Front 25

phlebitis and infiltration nursing action

Back 25

if prescribed apply a warm compress (phlebitis)

warm or cool (infiltration) DO NOT RUB IN

Front 26

what is a catheter embolism?

Back 26

tip of catheter breaks off during IV insertion or removal.

Front 27

catheter embolism nursing intervention

Back 27

1. notify physician
2. place tourniquet high on the limb.
3.Xray is obtained
4. may require surgery to remove pieces

Front 28

what is fluid(circulatory)overload?

Back 28

adm. of fluids too rapidly

Front 29

what is an air embolism?

Back 29

bolus air enters the vein through an inadequately primed IV line, from a loose connection, during removal of IV or tubing change.

Front 30

Steps if air embolism is suspected...

Back 30

1. clamp tubing
2. turn pt on left side w head of bed lowered(trap air in right atrium)
3. notify physician

Front 31

phlebitis s/s
(RNS HT)

Back 31

Redness
Not swollen or hard
Sluggish IV infusion

Heat
Tenderness

Front 32

Thrombophlebitis s/s
(HRS HT)

Back 32

Hard core like veins
Redness
Sluggish IV infusion

Heat
Tenderness

Front 33

Infiltration s/s
(CEMP)

Back 33

Coolness at site
Edema pain
May or may not have blood return
Pain

Front 34

catheter embolism s/s
(LC DWP)

Back 34

Loss of consciousness
Cyanosis of nail beds

Decrease in BP
Weak, rapid pulse
Pain along vein

Front 35

fluid overload s/s
(DIRM)

Back 35

Dyspnea
Increased BP
Rapid breathing
Moist cough and crackles

Front 36

air embolism s/s
(CT DHD)

Back 36

Cyanosis
Tachycardia

Dyspnea
Hypotenstion
Decreased LOC

Front 37

For central vein insertion, tubing change, and line removal place the client in ___ (nCI) or __ position. Instruct client to perform ___ maneuver to^ pressure in central veins when IV system is open.

Back 37

Trendelenburg, supine
valsalva's

Front 38

Type of central venous catheters.

Used for __ term therapy.

Back 38

Hickman, Broviac, Groshong,
long

Front 39

How to maintain patency of CV catheters?

Back 39

Flush with diluted heparin solution or NS.

Front 40

Types of vascular access points.
Used for __term therapy.

Back 40

Port a-cath, Mediport, infusaport.
long

Front 41

How to maintain patenct of vascular access ports(implantable ports)

Back 41

Flush with diluted heparin solution

Front 42

PICC(peripherally inserted central catheter) line.
Used for __ term therapy.
Frequently used in __ care.

Back 42

long, home

Front 43

What is the universal RBC donor blood type?

Back 43

O negative

Front 44

What is the universal recipient blood type?

Back 44

AB positive

Front 45

Blood transfusions immediate reactions
(C N RRDM PATH)

Back 45

Chills and diaphoresis

Nausea, vomiting, abd. cramping, diarrhea

Rash, hives, itching, swelling
Rapid thready pulse
Dyspnea, cough, wheezing
Muscles aches, back pain, or chest pain

Pallor or cyanosis
Apprehension
Tingling and numbness
Headache