IV Maintence Exam 4 Flashcards

(31 cards)

1
Q

What are the two routes for intravenous (IV) medication administration?

A

Peripheral IV (PIV) and central lines.

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2
Q

What is a key advantage of IV medication administration?

A

Rapid effect because absorption is bypassed.

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3
Q

What is a significant disadvantage of IV medication administration?

A

Risk of sepsis due to pathogens introduced directly into the bloodstream.

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4
Q

What is a potential risk when injecting drugs too rapidly via IV?

A

Transient drug concentrations.

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5
Q

What is a Central Venous Access Device (CVAD)?

A

A device used for long-term IV therapy.

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6
Q

What distinguishes tunneled CVADs from nontunneled CVADs?

A

Tunneled devices are surgically implanted and tunneled to a central vein.

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7
Q

What is a peripherally inserted central catheter (PICC)?

A

A nontunneled catheter inserted into central circulation via a peripheral vein.

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8
Q

What is the purpose of an internal or implantable port?

A

To provide long-term IV medication access.

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9
Q

What is an IV push (bolus) medication?

A

Medications injected directly into a vein for immediate systemic circulation.

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10
Q

True or False: IV push means to give medications rapidly.

A

False.

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11
Q

What is the significance of a bolus of fluids in IV therapy?

A

A specific volume of fluid administered rapidly.

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12
Q

What is the importance of labeling IV tubing?

A

To indicate start date and end date according to policy.

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13
Q

What is a primary IV infusion bag typically used for?

A

Continuous infusion of fluids or medications.

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14
Q

What is the main disadvantage of mixing medications into an IV bag?

A

Danger of infusing too much fluid.

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15
Q

What types of medications are commonly administered via secondary tubing?

A
  • Intermittent infusion medications
  • Antibiotics
  • Potassium chloride
  • Vitamins
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16
Q

What should be done if phlebitis occurs during IV therapy?

A

Look for a red streak along the vein.

17
Q

What nursing intervention should be taken for infiltration?

A

Discontinue fluids and elevate the extremity.

18
Q

What is a saline lock?

A

A device that maintains IV access without continuous fluid infusion.

19
Q

What should be assessed before, during, and after administering IV medication?

20
Q

What is critical to ensure when administering IV medications?

A

Compatibility of the drug with the IV fluid.

21
Q

What should be done if a patient shows signs of a serious allergic reaction?

A

Prepare to support the patient’s airway and deliver oxygen.

22
Q

What is the correct method for removing an IV?

A

Gently and slowly remove tape while applying gauze to insertion site.

23
Q

What should be done after removing an IV catheter?

A

Assess the IV catheter tip before disposing.

24
Q

What is the goal when flushing an IV catheter?

A

To ensure it is clean, dry, and intact.

25
For a vesicant drug the nurse needs to call who for antidote?
Doctor and pharmary
26
Difference between external and internal CVAD? On exam
External surgically implanted peripherally, non tunneled catheters are inserted near destination site. Internal cvad- implanted- used for years. Used with port to self sealing silicone gap.
27
Why a CVAD over PIV?
Can be worn for moths
28
IV tubing needs what labeled?
Start date/ end date and initials Change every 4 days New administer with TPN every 24 hours Disconnect tube? Good for 24h instead of 4 days
29
Iv complications
Infection Phlebitis - streak like Infiltration- most common Exravastation- vesicant drug Hematoma- bruise Air embolism - fatal
30
Nursing interventions for complications.
Stop fluids Notify doctor
31
Check drug compatibility before administering
Sterile technique Scrub the hub K+ burns push slowly