Ch 4- IV Flashcards Preview

Pharm ATI > Ch 4- IV > Flashcards

Flashcards in Ch 4- IV Deck (20):
1

Large volume infusion

Continuous

2

Fluid Bolus

Large amount of IV fluid given in short period of time

Less than an hr

Rapidly replace fluid loss caused by dehydration, shock, hemorrhage, burns, trauma

18 gauge +

3

Preventing IV infections

Change IV sites every 72 hr

Avoid writing on IV bags with pens or markers

Fluids should not hang more than 24 hr

Wipe ports with alcohol or antiseptic swab

Don’t disconnect tubing for convenience or repositioning

4

Cather sizes

16 gauge trauma

18 gauge surgical - rapid blood admin

22-24 all other

5

Infiltration findings

(Nonvesicant solution)

Pallor
Swelling
Cool to touch
Damp dressing
Slow infusion

6

Infiltration treatment

Stop
Elevate
ROM
warm or cold compress

7

Extravastation findings

(Vesicant or tissue damaging med)

Pain
Burning
Redness
Swelling

8

Extravasation treatment

Stop

May need to admin antidote before removal

Prevent: infusion pump

9

Hematoma findings

Ecchymosis

10

Hematoma treatment

Do not apply alcohol

Apply pressure after IV catheter removal

Use warm compress and elevation after bleeding stops

11

Hematoma prevention

Minimize tourniquet time

Remove tourniquet before staring IV infusion

Maintain pressure after removal

12

Phlebitis/thrombophlebitis findings

Edema
Throbbing
Burning
Pain at site
Increased skin temp
Erythema
Red line up arm
Palpable band at vein site
Slowed infusion

13

Phlebitis/thrombophlebitis treatment

Stop
Elevate
Apply cold compress then warm
Culture site and catheter if drainage present

14

Phlebitis/thrombophlebitis prevention

Rotate sites 72 hrs
Avoid lower extremities

15

Cellulitis findings

Pain
Warmth
Edema
Induration
Red streaking
Fever
Chills
Malaise

16

Cellulitis treatment

Stop
Elevate
Apply warm compresses 3-4 times daily

Admin:
Antibiotics
Analgesics
Antipyretics

17

Cellulitis prevention

Rotate 72 hrs

Avoid lower extremities

18

Fluid overload findings

Distended neck veins
Increased BP
Tachycardia
Shortness of breath
Crackles
Edema

19

Fluid overload treatment

Slow IV rate
Raise head of bed
Assess vitals
Use of diuretics

20

Fluid overload prevention

Infusion pump

Monitor I and O