Flashcards in Venipuncture Review Deck (20):
In order to access an extremity for venipuncture on a patient with a prior mastectomy, what must one have to access the extremity involved in the lymph node removal?
***What happens to the veins when a patient is apprehensive or is cold and fearful of the procedure?
The veins constrict and disappear making venipuncture more difficult
What type of information must one obtain from a patient prior the venipuncture procedure?
-Prior surgeries to include mastectomy with lymph node involvement
***What is the average range for the GFR, BUN and creatinine levels?
-GFR = 90 to 130
-BUN = 10 to 20 mg/dL
-Creatinine = 0.05 to 1.2 mg/dL
***As the gauge of the needle increases, the diameter of the bore: _____
***Which is larger an 18 gauge or a 22 gauge needle?
***What are the components to a needle?
-Hub – part that attaches to syringe
-Cannula/shaft – length of needle
-Bevel – slanted portion of needle tip
***Where are the veins typically located for IV access for use in radiologic examinations?
***Are you allowed to use the anterior wrist for starting an IV?
-Could damage radial nerve
***Feet and legs for IV access require an order on all patients _________
3 years and older.
What equipment is needed for starting an IV?
***When applying the tourniquet, how far above the intended site of puncture must it be positioned?
6 to 8 inches
***How much should the BP cuff be inflated if using it to secure a site for venipuncture?
60 to 80 mm/Hg
What is the procedure for starting an IV?
***At what angle should the needle be placed when it is about to enter the skin’s surface?
20 to 30 degrees
How many attempts should be made before the IV team needs to be called?
No more than 3 attempts
What is the procedure if a patient comes to the radiology department with an established IV line?
***What is infiltration/extravasation?
-A process where fluid has passed into the tissue instead of the vein
-The most common cause is needle displacement
What are some symptoms associated with a mild anaphylactic reaction?