Exam 2 Peds & IV therapy Flashcards Preview

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Flashcards in Exam 2 Peds & IV therapy Deck (144)
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1

#1 IVstart site

AC space

2

5 purposes of IV therapy

provide maintenacne requirements for fluids & electrolytes
replace previous losses
replace concurrent losses
provide nutrition
administeration of meds/blood & blood components

3

how can you decrease the risk of infection with IV's

handwashing
use only once
approved antiseptic technique

4

name the 3 phases of intravenous therapy

pre-cannulation
cannulation (acessing the vein)
postcannulation (after its in)

5

what will anxiety cause in a pt that you are trying to start an IV

vasoconstriction

6

when choosing the best vein start where

distal to proximal

7

veins

dark red blood
slow blood return
have valves
blood flow is towards heart
superficial

8

where do you place the tourniquet

2-6 inches away from insertion site

9

if you pt is hairy do you cut or shave hair

cut hair

10

butterfly's are usually used for what

blood draws

11

cannula

hollow plastic tube, catheter

12

bevel

slanted edge on opening of the needle or cannula device

13

a 24 gauge catheter is used for what pt

infant

14

a 20 guage catheter is used for what pt

average adult pt

15

a 14 guage catheter is used for what pt

trauma pt

16

distal

farthest from heart

17

proximal

nearest to the heart

18

the bevel is always what?

up

19

what angle should your needle be at

15-30 degrees

20

when do you take off the tourniquet

after blood draw or right after IV stick if no blood draw needed

21

how many sticks are you allowed to have before you hve to get another nurse

2 sticks

22

if the IV fluid has stopped what should you check for

tube kink, vein valve occlusion, check all eqiopment

23

when do you need to get a MD order for IV sticks

foot access

24

when do IV sites have to be changed

Q96 hours or PRN
24 hours if started by Paramedic

25

When do you have to change the IV tubing

Q96 hours

26

when do you have to change the IV fluid

contains Rx: 24 hours
does not contain Rx: 48 hours

27

what do you lable the IVF bag with

time up & down, date time, inititals

28

when do you fluish a IV site

flush with 3mL of NS, Q8 hours, change the cap to a saline lock Q72 hours
Need to assess site Q4 hours

29

how often do you assess a PEDs IV site

Qhour

30

for pediatic patients what do you need to make sure is on IV line/pump

buretrol