Venous Access & Medication Admin

Front 1

Appropriate medthod for preparing a site for venipuncture or injection?

Back 1

Use of an antiseptic.

Front 2

Advantage of IV drug administration is?

Back 2

Medication can be easily discontinued, greater control of mdication delivery, & drug levels can be maintained after an initial bolus.

Front 3

Advantage of a nebulizer or metered dose inhaler?

Back 3

Less medication is needed, easily discontinue, & supplemental oxygen administered simultaneously can assist a hypoxic patient

Front 4

Blood from an artery is usually dark red. T or F

Back 4

False

Front 5

Arteries have valves to prevent backflow and to ensure the flow of blood toward the heart. T or F

Back 5

False

Front 6

Blood is administered with which IV solution?

Back 6

Normal Saline

Front 7

Skin should be cleansed prior to obtaining blood directly from the vein with an?

Back 7

Antiseptic

Front 8

What is the correct sequence for the colored tubes used when drawing blood?

Back 8

Red, blue, green, purple, & gray

Front 9

You should obtain veous blood when starting an IV on all of patients except?

Back 9

A patient in Cardiac Arrest

Front 10

Simplest form of body substance isolation is?

Back 10

Washing hands

Front 11

The most appropriately sized cather for cardiac arrest situation is ___ gauge?

Back 11

14 & 18

Front 12

The larger the gauge number, the larger the diameter of the shaft? T or F

Back 12

False

Front 13

Which gauge catheter is most appropriate for a neonate?

Back 13

24 & 28

Front 14

The longer the catherter, the slower the flow rate? T or F

Back 14

True

Front 15

Which type of catheter is preferred for peripheral venous access?

Back 15

Over-the-needle catheter

Front 16

What is a risk posed by catheter shear?

Back 16

Creation of an embolus

Front 17

The type of catheter most commonly used in the prehospital setting is the?

Back 17

Over-the-needle

Front 18

The veins utilized in central venous access include?

Back 18

Femoral veins, subclavian veins, & internal jugular veins

Front 19

Changing IV bag during infusion is a?

Back 19

Medically clean process

Front 20

Colloids do not readily pass through capillary membranes. T or F

Back 20

True

Front 21

Colloids remain in the intravascular space for extended periods of time. T or F

Back 21

True

Front 22

When establishing a peripheral IV, what is the maximum amount of time a constricting band should be left on?

Back 22

2 minutes

Front 23

Crystalloid solutions move quickly across cell membranes. T or F

Back 23

True

Front 24

D5W is the preferred solution in a cardiac arrest situation. T or F

Back 24

False

Front 25

The destruction of red blood cells during blood draws is?

Back 25

Hemolysis

Front 26

What type of patient will benefit from external jugular cannulation?

Back 26

An unconscious stabbing victim

Front 27

For cannulation of the external jugular vein, place the patient in the?

Back 27

Supine and/ or Trendelenburg position

Front 28

When administering medication through an endotracheal tube, the amount of medication mixed with normal saline should create a soulution equal to?

Back 28

10 mL

Front 29

Extravasation of an IV site is indicated by?

Back 29

Edema at the IV site

Front 30

A 14 gauge catheter provides much greater fluid flow than does a 22 gauge catheter. T or F

Back 30

True

Front 31

The most desirable fluid for replacement is?

Back 31

Blood

Front 32

Indications for intravenous access is?

Back 32

Fluid and blood replacement, drug administration, & obtaining venous blood specimens

Front 33

An intradermal injection should be given at a?

Back 33

10-15 degree angle

Front 34

The preferred site for an intradermal injection is the?

Back 34

Forearm

Front 35

An intramuscular injection is given at a?

Back 35

90 degree angle

Front 36

Acceptable sites for intramuscular injection?

Back 36

trapezius

Front 37

What should you do if you suspect that a clot is obstructing an IV?

Back 37

Aspirate the blood clot in to a syringe

Front 38

Indication of proper placement of an IV catheter?

Back 38

Backflow of blood in IV tubing when the IV bag is lowered below the IV site, Aspirating blood from the catheter, & No swelling at the insertion site.

Front 39

The preferred site for IV cannulation in cardiac arrest is the?

Back 39

Antecubital fossa

Front 40

Veins of the lower leg should be used as a last resort in adults. T or F

Back 40

True

Front 41

Cleansing of the skin for intravenous access requires use of?

Back 41

Medically clean techniques

Front 42

When choosing a site for routine intravenous access, it is best to start?

Back 42

In the hand and work towards the antecubital fossa

Front 43

One kilogram equals?

Back 43

2.2 pounds

Front 44

Lactated Ringer's is an ___ solution?

Back 44

Isotonic

Front 45

Lactated Ringers is a colloid solution. T or F

Back 45

False

Front 46

Medically clean techniques involve?

Back 46

The careful handling of sterile equipment to prevent contamination

Front 47

A medication's concentration refers to its?

Back 47

Weight per volume

Front 48

With a microdrip administration set, ___ drops equals 1 mL of IV solution?

Back 48

60

Front 49

Microdrip tubing has how many drops per milliter?

Back 49

60

Front 50

A milliliter equals?

Back 50

1/1000 of a liter

Front 51

Under the tongue, between the cheek and gums, the eyes, the nose, and the ear and ear canal are sites where medications can be absorbed into the body through the?

Back 51

Mucous membranes

Front 52

In order for a nebulizer to be effective, the patient must be able to?

Back 52

Maintain adequate tidal volume

Front 53

Parts of a nebulizer?

Back 53

Mouthpiece, relief valve, & oxygen port

Front 54

A needle's gauge describes its?

Back 54

Diameter

Front 55

When filling a blood tube using a syringe, at least a ___ gauge needle should be used?

Back 55

18

Front 56

0.9% sodium chloride solution closely resembles blood plasma?

Back 56

True

Front 57

It is normal to feel a slight pop or give as the needle passes through the wall of the vein during IV cannulation. T or F

Back 57

True

Front 58

A pyrogenic reaction usually occurs within __ minutes of the initiation of IV therapy?

Back 58

30-60

Front 59

When using an intermittent infusion device, you should inject ___ mL of dilute heparin or saline solution into the lock to prevent occlusion?

Back 59

1-3

Front 60

TKO rate is equal to approximately ___ to ___ drops/min?

Back 60

8;15

Front 61

The outer layer of a vein is called the?

Back 61

Tunica externa

Front 62

Veins have valves to prevent backflow and to ensure the flow of blood toward the heart. T or F

Back 62

True

Front 63

Smaller veins such as those on the hands should be avoided for venous blood collection because they are more likely to?

Back 63

collapse during retrieval

Front 64

When replacing fluid loss from hypovolemia, 3 L of IV crystalloid should be infused for every?

Back 64

1 L of blood lost