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Nur 202 > IV Therapy - Unit 1 > Flashcards

IV Therapy - Unit 1 Flashcards

1
Q

What are some purposes of IV Therapy?

A

Provides parenteral nutrition, avenue for dialysis, hemodynamic monitoring, diagnostic testing, administration of meds/fluids, etc.

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2
Q

What are crystalloids?

A

Saline - regular fluids.

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3
Q

What are colloids?

A

Think blood, platelets, etc.

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4
Q

Isotonic = what percent normal saline?

A

.9%

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5
Q

What is infiltration of an IV?

A

Swelling, leakage, etc.

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6
Q

What is extravasation of the IV?

A

When it causes major damage - bad bad bad!

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7
Q

If the patient says their IV hurts, what do we do?

A

STOP IT and pull it out!

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8
Q

What is phlebitis?

A

Inflammation - hardening of the iv area.

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9
Q

What does thrombophlebitis look like?

A

Redness, swelling, pain of the IV area.

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10
Q

After __ days, the peripheral IV needs to be changed.

A

4 days.

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11
Q

Tubing of an IV needs to be changed every __ days.

A

4 days.

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12
Q

TPN IV - needs to be changed every _ day.

A

Everyday!

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13
Q

What are some systemic complications of IV therapy?

A

Circulatory overload, allergic reaction and catheter embolism.

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14
Q

What do we have to do for care of an IV in an older adult?

A

Skin case, vein and catheter selection (pick a good one) and cardiac and renal changes (look for those.)

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15
Q

With an IV, the smaller the #, the bigger the needle. T/F?

A

True!

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16
Q

What do we have to do for care of the peripheral IV?

A

Know the type and size, know the vein site and location, type of fluid infusing, insertion date, assess for redness and problems, make sure it’s secure, assess every 2 hours, and scrub the hub!

17
Q

Central line - is placing this a sterile procedure?

A

Yes!

18
Q

Central Line - close to the ___.

A

Heart.

19
Q

Central Line’s - change every ___ days.

A

7.

20
Q

What is one of the major downfalls of central lines?

A

Infection!

21
Q

We scrub the hub on a central line/IV’s for ….

A

15 seconds!

22
Q

CVAD’s - tip of the catheter should be in ___ ___ ___.

A

Superior vena cava.

23
Q

We need an X-Ray to confirm placement of the CVAD. T/F?

A

True!

24
Q

What is a CLABSI?

A

Central Line Associated Blood Stream Infection

25
Q

What is CLIP?

A

Central Line Insertion Practices, like everyone in the room will gown up, mask up, glove up, etc.

26
Q

What is a CLABSI Bundle?

A

A kit of things to help prevent infections.

27
Q

What are some types of catheters?

A

Non tunneled (fixed in place - like Subclavian and jugular), tunneled (moved down farther - separate exit side, like Broviac, Hickman and Groshong), Dialysis (Quinton), PICC and Implanted Ports

28
Q

What is a PICC line?

A

Inserted in peripheral vein and threaded into the superior vena cava.

29
Q

PICC - Long or short term use?

A

Long term.

30
Q

PICC dressing changes - 24 hours after insertion then usually every 7 days and PRN. T/F?

A

True!

31
Q

Always check for blood return in catheter before using - it should be free flowing! T/F?

A

True!

32
Q

Groshong valves - flushed with saline.

Ports are flushed and heparanized. T/F?

A

True!

33
Q

What are some major problems with CVAD’s?

A

Related to incorrect placement, fibrin sheath formation, clot formation and infection/biofilm.

34
Q

Assessing CVAD - what do we do?

A

Asses every shift and every time you are in the patient’s room. Observe the site/palpate, etc. Always ask for help if unsure!

35
Q

What are some alternative sites for Infusion?

A

Intraperitoneal (into abdomen), Intraspinal and Intraosseous

36
Q

Intraosseous IV - drill into..

A

Mid Tibia - and you can put anything in there!

Nur 202 (31 decks)

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