Intravenous Therapy

Question 1

Indications of IV therapy

Answer 1

rapid infusion when a patient needs fluid quick or resiticed oral intact and they need TPN. swallowing difficulties or if the GI is impaired. Patient has had surgery and need blood transfusion

Question 2

Complications of IV therapy

Answer 2

redness, swelling, burning or coldness, when the fluid is going into the interstitial space; causing hypovolemic cause pitting edema, weeping, fluid overload. If not changing tubing and IV infection can set in blood clots or thrombus

Question 3

Maintenance for IV therapy

Answer 3

change solution every 24 hrs, change dressing every 7 days, flush the IV 2 times a shift (when you start shift and before end of shift), change tubing every 72-96 hours,

Question 4

Method of gaining access to the venous system by piercing a vein

Answer 4

Venipuncture

Question 5

For a Venipunction what does the nurse do?

Answer 5

places, monitors and manages

Question 6

what do you use for an aseptic technique?

Answer 6

alcohol or iodine

Question 7

Peripheral common sites for IV placement

Answer 7

-hands
-forearm inside the elbow (but we bend there so we don’t like to place there but if that’s all we can use then we do)
-foot
-ankle
-Antecubital fossa (AC)
-Forearm and back of the arm

Question 8

Central Venous common site IV placement

Answer 8

-Superior vena cava

Question 9

How long is an IV normally good for?

Answer 9

5 days

Question 10

how often should you flush an IV?

Answer 10

twice a shift

Question 11

Indications for an IV

Answer 11

-Rapid drug effect
-Restricted oral intake
-Unable to swallow or difficulty swallowing
-Impaired gastrointestinal absorption
-Desired continuous therapeutic blood levels
-Total parenteral nutrition (TPN)
-Blood transfusions

Question 12

IV therapy Complications

Answer 12

-Infections
-Phlebitis
-Thrombus
-Air bolus -deadly
-Infiltration
-Circulatory overload

Question 13

How often should you change the IV dressing?

Answer 13

every 72 hours or if bleeding and oozing through the dressing

Question 14

vein is blown and fluid is going into intersatal spacing, change to a new one every time you take it off to flush

Answer 14

Infiltration

Question 15

IV maintance

Answer 15

-Changing IV solutions every 24 hrs - even if there is still fluid in there
-Changing IV tubing every 72 to 96 hrs - its been label look at it every shit to see if it needs to be changed
-Antibacterial caps -the green or blue and are in the foil

Question 16

what kind of tubing is used for blood transfusions?

Answer 16

Y- administration

Question 17

blood and normal saline. Never mix or y-site with any medications. Always check for compatibility. Normal saline is the only thing that can be given with blood

Answer 17

blood transfusions

Question 18

Blood transfusion reaction

Answer 18

-Hives
-Itching
-Febrile response
-Shaking, chills, and fever (septic reaction; high HR) pathogen in blood product
-back ache

Question 19

what lab level is decreased with multiple blood transfusions?

Answer 19

calcium

Question 20

lactated ringers for pregnant women in labor and postpartum patients get this for electrolyte intake. normal saline 0.9% use to maintain fluid balance

Answer 20

Isotonic Solutions

Question 21

5% dextrose (sugar water) and normal saline at 0.45% use to expand circulating blood volume increasing blood pressure (someone that took too much bp meds you can

Answer 21

Hypotonic

Question 22

3% saline 10% dextrose, TNP, and decrease brain edema and treat severe hyponatremia

Answer 22

Hypertonic

Question 23

What is the role of an LPN with a blood transfusion?

Answer 23

don’t give blood, support , monitor, and do vitals, checking for reactions, can stop things if there is an emergency. If the IV has gone bad LPN can give almost anything IM injections in an emergency

Question 24

Can an LPN be the second check for compatibility?

Answer 24

NO

Question 25

Can the LPN monitor the client for signs and symptoms of a transfusion reaction

Answer 25

Yes

Question 26

Can the LPN obtain and record the client’s vital signs during a transfusion?

Answer 26

Yes