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18 Cards in this Set
- Front
- Back
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What are the purposes of IV therapy? |
Provide medications, Supplement fluid intake, Give fluid replacement, electrolytes, or nutrients. |
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Name some advantages of IV Therapy
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Rapid effects and precise amounts, less discomfort after initial insertion, less irritation to muscle and subq tissue |
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Name some disadvantages of IV Therapy
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risk of circulatory fluid overload, fast absorption leaves no time to correct error, possible irritation of skin/vein
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What is an IV fluid bolus?
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A large amount of IV fluid given in a short period of time, usually less than an hour
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What are the types of IV access?
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Peripheral (PICC lines) or Central venous line (jugular/subclavian vein or surgically implanted).
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Which medication should never be given via IV line?
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Potassium chloride. (It can use serious adverse reactions if dose is not accurate. Use electronic infusion pump for potassium always) |
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Can you IV push meds through tubes that are infusing blood, blood products, or parenteral nutritional solutions?
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No! Never administer IV meds through these tubes.
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For patients who are on anticoagulants or have fragile veins, what are some things to avoid for IV therapy?
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Avoid tourniquets (use BP cuff instead), Don’t slap arms/legs to find a vein, Avoid using the back of patients hand. |
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How often should you change IV sites?
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Usually 72 hours. *but follow hospital policy
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Why should you avoid using pen/markers to write on IV bags?
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The ink can contaminate the solution. |
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What size IV catheter would you use for a trauma client?
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16 gauge *for rapid fluid volume
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What size IV catheter would you use for surgical clients?
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18 gauge *for rapid blood administration |
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What size catheter would you typically use for adult patients (not trauma/surgical)?
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22-24 gauge |
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(T/F) You should always flush IV catheters with saline intermittently after every med administration or every 8-12 hours when not in use.
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true
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What is phlebitis of an IV site?
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Pain at site; palpable and hard mass above insertion site, edema, throbbing, burning, raised skim temp.
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What is infiltration of an IV site?
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Pallor, local swelling at site, coolness around site, damp dressing, slowed infusion. |
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What is cellulitis? |
Common skin infection caused by bacteria; Pain, warmth, edema, red streaking, fever, chills, malaise. |
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What are the signs of fluid overload? |
Distended neck veins, increased blood pressure, tachycardia, shortness of breaths, crackles in lungs, edema. |
