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11 Cards in this Set

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What technique should be used by the nurse when discontinuing an IV to prevent a hematoma?
Swiftly pierce the skin & anchor the catheter & tubing to reduce tissue trauma
What are two causes of fluid overload due to IV therapy?
Infusing excessive amounts of IV fluids or administering fluid too rapidly
What are signs of fluid overload?
Weight gain, edema, hypertension, SOB, crackles, distended neck veins
Name three signs that an IV line has infiltrated.
- Slowed or stopped flow
- Swelling, tenderness, pallor, hardness & coolness at site
- Patient may report a burning sensation in the area
Identify three actions a nurse should take if an IV line has infiltrated.
- Stop the infusion immediately
- Restart the IV infusion in a different vein, higher in the extremity or in another extremity
- Elevate the affected arm on a pillow to promote absorption of excess fluid
What is the difference between infiltration and extravasation?
Extravasation is infiltration of a vesicant substance into the tissues, causes the formation of blisters & subsequent sloughing & necrosis
If there is extravasation at an IV site, in addition to elevation of the extremity, what should be applied to the site?
Stop IV infusion immediately, administer an antidote (alters the pH, alter DNA binding, neutralize the drug or dilute the extravasated drug), apply cold compresses & elevate the extremity
Define phlebitis. What causes it?
- Inflammation of the vein
- May be due to mechanical irritation, infusion of solutions that are irritating to the vessel or sepsis
Describe the appearance of an IV site that has phlebitis
Redness, pain, warmth at the site, local swelling, palpable cold along the vein, sluggish infusion rate & elevated temp
Name two actions a nurse should take at the first sign of phlebitis
Discontinue IV, apply cold compresses to the site and after use warm compresses
How frequently should an IV site be rotated to prevent phlebitis?
96 hours