Intravenous

Question 1

Factors affects flow rate

Answer 1

Height of the infusion bottle
Size of the angiocath
The position of the forearm
The position and patency of tubing

Question 2

Reasons of discontinue infusion

Answer 2

IV infusion is completed as per doctor’s prescription
Peripheral venous access no longer required
insertion site shows local complication

Question 3

NS flush

Answer 3

use 0.9% Sodium Chloride
wipe access port
insert syringe to access port

Question 4

removing angiocatheter

Answer 4

turn off the Iv infusion by clamping the IV tubing
remove the securing dressing

Question 5

Considerations of IV therapy

Answer 5

3 checks 5 rights
The infusion bottle must be higher than access site
no air bubble
apply strict aseptic technique
ensure no kinking

Question 6

Complication for IV ( local)

Answer 6

Thrombus : blood clot caused by trauma from catheter
discontinue the infusion / restart the IV / not to massage the site
Phlebitis : inflammation of vein caused by the trauma from catheter
discontinue the infusion / apply warm compress / restart IV
Infiltration: escape of fluid into subcataneous layer
check the site regularly / discontinue the IV / start new IV

Question 7

Complication for IV ( systemic)

Answer 7

Sepsis : microorganism invade the bloodstream
assess the site daily / culture the drainage / restart IV with strict aseptic techniques
Fluid overload : A large volume infused into circulatory system
report s/s / slow the infusion / monitor vital signs
air embolus : air in the circulatory system
Place the patient on the left side in head down
/ report / monitor v/s