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From Flashcardlet > specials venipuncture > Flashcards

specials venipuncture Flashcards

0
Q

5 rights of injections

A 
Patient
Drug/ contrast
Dose
Time
Route
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1
Q

Iv height

A

18-24 in above injection site

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2
Q

Reactions occur in why time within injection

A

5-20 mins and within 24 hours

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3
Q

Creatine levels

A

0.6-1.5 mg/dl

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4
Q

Bun levels

A

8-25 mg/dl

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5
Q

Most common veins(2)

A

Cephallic and basilic

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6
Q

Pierce skin at angle?

A

30-45 degree

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7
Q

Cephallic vein

Begin _____side of hand in dorsal venous network on lateral boarder of forearm

Median cephallic vein- connected to basilica vein by median cubital vein and united with accessory cephallic vein to form cephallic vein of upper extremity just below elbow

Joins axillary vein just below clavicle

A

Begin thumb side of hand in dorsal venous network on lateral boarder of forearm

Median cephallic vein- connected to basilica vein by median cubital vein and united with accessory cephallic vein to form cephallic vein of upper extremity just below elbow

Joins axillary vein just below clavicle

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8
Q

Basilic vein

Vessels begin in venous network on _____ side of hand and ascends along medial side of forearm. Joined by medial cubital vein just below the elbow to form the antecubital vein.

Joins deep brachial vein to form axillary vein

A

Vessels begin in venous network on medial side of hand and ascends along medial side of forearm. Joined by medial cubital vein just below the elbow to form the antecubital vein.

Joins deep brachial vein to form axillary vein

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9
Q

Done

A

.

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10
Q

Medical asepsis

______have been eliminated through use of soap, water, friction, various chemical disinfectants

A

Microorganism have been eliminated through use of soap, water, friction, various chemical disinfectants

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11
Q

Surgical asepsis

Microorganism s and spores have been completely ______by means of _____or by _____process

Ex autoclave

A

Microorganism s and spores have been completely destroyed by means of heat or by chemical process

Ex autoclave

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12
Q

Infiltrate

Contrast medium into skin can cause _____

  • stop immediate
  • get ____
  • can put ___ or ____on it
A

Contrast medium into skin can cause necroisis

  • stop immediate
  • get nurse
  • can put hot or cold on it
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13
Q

Prep for venipuncture

Disposable \_\_\_\_
Alcohol wipes
Tourniquet
1/2 tape
Arm board
Hemostats
2- \_\_\_\_cc/\_\_\_cc syringes
2- \_\_\_ ,\_\_\_\_,\_\_\_\_\_gauge injection devices
1- \_\_\_\_gauge needle to draw contrast ordered by radiologist
A 
Disposable gloves
Alcohol wipes
Tourniquet
1/2 tape
Arm board
Hemostats
2- 50cc/60 cc syringes
2- 19,21,23 gauge injection devices
1- 18 gauge needle to draw contrast ordered by radiologist
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14
Q

1 thing do before injections

A

Check arm band

Then
Charts
Outpatient- ask full name , dob, doctors name , and prescription

Explain procedure

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15
Q

Questions asked to every contrast media patient

A 
Allergies?
Can u eat shellfish/ fish w/o any problems?
Athma, hayfever, hives
Allergic iodine
Ever had ivp- ct injection
Reaction to it?
Cardiac problems
Kidney probs
Multiple myloma
Diabetes
Current meds for angina, hypertension, irregular heart rhythmn
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16
Q

History of non ionic contrast agents

A 
History adverse reaction
Sever allergies or asthma
Hemodynamic instability or signiicant cardiac disease
History of abnormal renal function
Mylogram patient
Prev allergic reaction contrast 
History of allergies
Diabetic patient
Cardiac patients
Patient under one
17
Q

Aseptic technique for contrast medium

Check \_\_\_\_ of contrast
Wash hands
Check \_\_\_\_\_again before drawing
Cm is drawn in \_\_\_cc syringe with \_\_\_\_gauge needle
Get rid \_\_\_bubbles
A 
Check label of contrast
Wash hands
Check label again before drawing
Cm is drawn in 50 cc syringe with 18 gauge needle
Get rid air bubbles
18
Q

Site selection for venipuncture(4)

A

Age of patient
Diagnosis
Infusion purpose
Duration of therapy

19
Q

Age of patient with site injection(2)

Baby?

A

Hand and forearm most frequent spot

Scalp veins or foot for children

20
Q

Diagnosis in site selection

3 may change site

Can’t use arm of ____ or____ side to draw blood

Vein of _____and ______of hand are the most frequently used

________ vein in upper arm for elderly and confused

A

Surgery, injury , or pathology may change site

Can’t use arm of injury or mastectomy side to draw blood

Vein of forearm and dorsum of hand are the most frequently used

Cephallic vein in upper arm for elderly and confused

21
Q

Infusion purpose site selection

A

Use of vicous, irritating or hypertonic solutions require larger veins and needle caliber

This avoid peripheral irritation and facilities dilution of solution

22
Q

Duration of therapy

Prolonged therapy requires the selection of _____ vessel located at the most____ site for initial venipuncture to assure continuance of infusion

A

Prolonged therapy requires the selection of large vessel located at the most distal site for initial venipuncture to assure continuance of infusion

23
Q

Gauge most common

A

18 or 20

24
Q

Mot desirable extremities

?
Due to 3?

A

Upper extremities

Due to lower venous stasis, embolism, and thrombophlebitis

25
Q

Which veins superficial or deep are used

A

Superficial

26
Q

Why cephallic and accessory cephallic veins?

A

Site

Position

27
Q

Site selection for venipuncture(3)

A

Size
Location
Accessibility

28
Q

Venipuncture process

Tourniquet pressure ___-____inches above site to impede venous flow while maintains arterial flow checked by arterial pulse

Distend vein by gentle tap or short stroking motions or hang arm over bed to use gravity or blood pressure cuff or wrm towel ___-____mins but not exceeding _____ degrees

Use alcohol pad ____inches around using _____motion and let dry before injection alcohol will cause bleeding

A

Tourniquet pressure 2-6 inches above site to impede venous flow while maintains arterial flow checked by arterial pulse

Distend vein by gentle tap or short stroking motions or hang arm over bed to use gravity or blood pressure cuff or wrm towel 10-20 mins but not exceeding 105

Use alcohol pad 2 inches around using downward motion and let dry before injection alcohol will cause bleeding

29
Q

Butterfly needle can’t be used with

Good?

A

Auto injector

Simple/ no blood leak and less pain

30
Q

Minicath(butterfly)

A

Most used in rad dept

1/2-1 1/4 range 25-17 gauge

31
Q

Angio catheter

Needle fitted with plastic catheter and pint needle extends beyond catheter tip 1 1/4- 5 1/2in 12-22 gauge

Ave gauge ___-_____

Advantage: less likely _____ vein and flex catheter allows _____

Disadvantage: more likely _____vein during insertion. More likely support ____

A

Needle fitted with plastic catheter and pint needle extends beyond catheter tip used with autoinjector

Needle?

Ave gauge 12-22

Advantage: less likely damage vein and flex catheter allows mobility

Disadvantage: more likely damage vein during insertion. More likely support infection

32
Q

Rate of injection for angio- catheter

No greater than ______ml/sec on central venous catheter

A

No greater than 0.8 ml/sec on central venous catheter

33
Q

Angiocatheter site selection

____ inch _____gauge needle inject contest iv line

Flush ____ml saline

Only use venous catheters: 3

A

One inch 18 gauge needle inject contest iv line

Flush 10 ml saline

Only use venous catheters: Hickman, port-a-cath, double and triple lumen burron

34
Q

Mini cath steps of insertion

Glove

Adapter connected to ____ or _____ cc syringe containing contrast medium

Stabilize vein

A

Glove

Adapter connected to 50 cc or 60cc syringe containing contrast medium

Stabilize vein

35
Q

Read instructions last pages

A

.

36
Q

Adult gauge selection

Children gauge selection

A

20-22 gauge adult

22-25 gauge children

37
Q

Looking at drugs (3)

A

Name
Strength
Exp date

Tell patient side effects

38
Q

Diagram of vein handout

A

.

39
Q

Why use tourniquet?

A

Pressure to impede venous flow maintains arterial flow

40
Q

Two used solutions

A

Ethyl alcohol

Providine iodine

From Flashcardlet (57 decks)

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