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Med surg 2 > Venipuncture: Unit 1 > Flashcards

Venipuncture: Unit 1 Flashcards

(53 cards)

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1
Q

oHow do you avoid irritation and leakage from previous puncture sites?

A

New IV starts should be made above the earlier site

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2
Q

Do you have to document the amount of times it takes to successfully get into a bank

A

yes

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3
Q

how long can midline catheters be used for?

A

2-4 weeks

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4
Q

what is the length of midline catheters

A

3-8 inches

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5
Q

What are central venous access devices (CVADs) used for?

A

long-term or home IV therapy

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6
Q

What must be used with ALL CVADs?

A

IV pump

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7
Q

Where do all CVADs get placed?

A

(the tip lies in the) inferior or superior vena cava (just above the right atrium)

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8
Q

How do you ensure accurate placement of a CVAD?

A

radiological confirmation

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9
Q

How long can a peripherally inserted central catheter (PICC) be placed for?

A

6 months to a year

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10
Q

When a patient has a PICC, where do you take their blood pressure?

A

on the arm WITHOUT the PICC line

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11
Q

How many lumens can a PICC have?

A

single or mulitple

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12
Q

Where are non-tunneled catheters usually inserted?

A

jugular or femoral veins

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13
Q

How long are non-tunneled catheters

A

6-8 inches

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14
Q

how long can you use non-tunneled catheters

A

5 to 10 days

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15
Q

how many lumens do non-tunneled catheters have

A

1-4

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16
Q

How are tunneled catheters inserted

A

surgery

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17
Q

how long can a tunneled catheter be in place

A

months to years long

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18
Q

3 common names for tunneled catheters

A

hickman
broviac
groshong

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19
Q

How long can ports go, when in use, until it needs to be heparinized?

A

4-6 weeks

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20
Q

What are implanted ports used for

A

long term and complex iv therapy

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21
Q

What type of needle is used for port access

A

huber needle

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22
Q

How do you check ALL CVAD placements?

Study These Flashcards
A

x-ray after insertion

23
Q

When can CVADs be used, after placed

Study These Flashcards
A

once confirmed correct placement

24
Q

How often do you have to assess the site

Study These Flashcards
A

every 4 hours

25
what size of syringe do you have to use to flush catheters
10 ml or higher, DUE TO PRESSURE ISSUES
26
How do you check for patency of catheter
by withdrawing blood prior to giving medication
27
When flushing a catheter, what method do you use
push pause method
28
How often do you flush PICC lines, and with how much saline
12 hours/ 10 mL
29
how much do you flush with, BEFORE and AFTER medication administration? How much do you flush with when obtaining blood?
meds: 10 mL each time NS Blood: 20 mL NS
30
when do you flush implanted ports with heparin (100 units/ml, per order)
when locking port or discontinuing port needle.
31
what are three conditions in which you change a CVAD transparent occlusive dressings
loose wet or weekly (usually every monday)
32
What does SAVE stand for:
S: scrupulous hand hygiene A: Aseptic technique V: vigorous friction to hubs E: ensure patency
33
when malnutrition occurs what are the major complications patients suffer from
morbidity and mortality due to infection and organ failure
34
what is TPN and what does it stand for?
total parenteral nutrition: nutrition directly into veins
35
what do parenteral nutrition solutions provide:
carbohydrates, amino acids, and essential fats
36
when are parenteral nutrition used: (7 options)
1. patients who are unable to take nutrition enterally for more than 7 days 2. malabsorption syndromes 3. bowel surgery 4. coma 5. bedrest 6. intractable vomiting and diarrhea 7. massive wound healing secondary to trauma or major infection
37
If there is a bag that is not ready when needed for TPN, what do you do?
hang 10% dextrose at the same rate. DO NOT SHUT UP TPN
38
when a central line is infusing TPN, what is something to remember?
Never shut off a TPN line or a Central Line
39
What are some signs and symptoms of hyperglycemia
headache, nausea and vomiting, abdominal pain, dizziness, rapid pulse, rapid shallow respirations, fruity breath
40
what are signs and symptoms of hypoglycemia
nervousness, tremors, headache, sweating, cold clammy skin, and hunger
41
what are the ONLY TWO nutritional additives that can be administered ivpb or in TPN
insulin and lipids
42
what are 6 functions of the blood system
1. supplying cells with oxygen 2. removing waste products from tissues 3.protecting the body 4. transporting hormones 5. promotion of clotting 6. regulating body temperature
43
what is the normal hemoglobin levels range
12- 16 grams
44
what is the level of hemoglobin that indicates a blood transfusion should happen
7 or 8
45
how much do you expect the platelet count to increase for each unit of blood infused
5,000 to 10,000
46
what can blood not be infused with
everything but normal saline
47
when must a patients signature be obtained when dealing with blood
with consent or refusal
48
when should you get blood from the lab
once iv site is well established and saline is infused
49
what needle gauge is required at least for a blood transfusion what needle gauge is recommended
20 18
50
when are the four times you check vital signs for blood transfusions
no more than 30 minutes prior to starting 15 minutes of the start of transfusion after the infusion is complete 3 hours after completion of the infusion
51
what type of filter do you used when blood administration
inline
52
how fast should one unit of packed red blood cells be infused
2 to 4 hours, for sure no more than 4
53
What are 3 things you do if a transfusion of blood reaction occurs
1. immediately stop 2. attached new prime tubing with NS, obtain vital signs, notify hcp and lab 3. obtain lab samples

Med surg 2 (6 decks)

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