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Flashcards in IV Therapy Deck (32):
1

what is the main reason for putting in an IV?

administer fluid (hypovolemia, shock, burn injury, blood loss, electrolyte imbalance, heat illness)

2

how many lines do burn victims need?

2 huge lines

3

what do you need to think about when you decide on a size of IV?

what you are going to put in there, b/c if you have an abx or something caustic it will burn the vein up

4

what IV access do you need for TPN?

triple lumen

5

what is a contraindication for IV access?

site of cellulitis (can cause septicemia)

6

in whom should you avoid lower extremity IVs?

elderly
PVD
DM

7

which type of embolism is more likely with an iV?

pulmonary b/c IV can encourage clotting

8

what is the femoral line usually?

quad lumen

9

what type of IV access would you use in babies?

umbilical line

10

where should you avoid putting an IV?

antecubital space

11

who insserts a PICC line?

specially trained RN, radiology PA, physician

12

when would you use a PICC line?

IV access is not easily achieved and you know the pt will be in the hospital for a while

13

how many ports does a PICC line have?

2, one goes out, one goes in

14

when would you use a Hickman (tunneled) central line?

chemotherapy

15

what central line will you see in ICU?

swan-ganz (invasive pressure monitoring)

16

what do you always have to check?

placement

17

what is the main reason to do an arterial line?

if you need frequent ABG

18

when is an intraosseous line used?

when venous access is not acheived and you need temporary fluid resusitation

19

what areas do you want to avoid when placing an IV?

bumps, bifurcations which tells you there is a valve

20

how should the vein feel that you want to use?

bouncy, not hard, bumpy or flat

21

what are the first few steps of applying IV?

1. apply tourniquet
2. choose the vein
3. release tourniquet
4. check supplies
5. reapply tourniquet

22

how do you anchor the vein?

retract skin distally

23

when is direct entry good?

larger veins

24

when is indirect entry good?

smaller veins

25

when will you know you are in?

you will see a flashback of blood

26

what is cannulation?

floating catheter as far into the vein as you can

27

what do you need to have ready after you cannulate?

fluid or syringe to control blood

28

what do you watch for after IV insertion?

swelling (hematoma)
flow

29

how often should IVs be changed?

every 3-4 days

30

how often should you inspect IV site?

every day

31

can you reinsert stylette once its been removed?

NO NO NO

32

how can you control phlebitis related to abx infusion?

increase concurrent fluid infusion

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