TEST BANK for Lisa Gorski, Phillips' Man of IV
Therapeutics 8th edition
occurs when IV fluids leak into surrounding tissue, cool blanched area around
insertion site - ANSWER:infiltration
what causes infiltration? - ANSWER:improper placement or dislodgment of the cath
signs of infiltration? - ANSWER:edema around IV site
skin cool to touch
mild to moderate pain
skin tight
IV site is white, cool, swollen, tender
how often do you change solution bad, tubing and dressing? - ANSWER:24-96 hours
how often do you change peripheral IV sites? - ANSWER:at least every 7 days per
CDC
how often do you change intermittent IV tubing? - ANSWER:24 hours
how often do you change continuous IV tubing? - ANSWER:96 hours
used primarily for children
tuning pinched just below port
med added into the port and flows up towards the IV bag
tubing released and allows med to travel slowly into the vein - ANSWER:retrograde
technique
generally used where tubing is pinched above the port and the IV flow stopped while
the med is pushed into the tubing - ANSWER:antegrade technique
how to prevent fluid overload ? - ANSWER:monitoring rate
use mini drip
small bags of fluid
controller devices
signs of fluid overload? - ANSWER:SOB
tachycardia
crackles in lungs
, inflammation of the vein, red streak at site, swelling, pain, prevent by using as small
as a needle as possible, tape the tubing and cath to prevent irritation, erythema,
warmth and slight induration, a palpable venous cord can accompany -
ANSWER:phlebitis
how often do you change IV site? - ANSWER:7 days
how to prevent air in tubing? - ANSWER:prime carefully
use a needle to aspirate air if tapping does not move the air to the port or drip
chamber
what happens if drip chamber is over full? - ANSWER:invert bag and squeeze drip
chamber to expel fluid back in bag
what happens if blood backs up into the tubing? - ANSWER:raise the bag or lower
the arm
increase flow rate briefly to flush blood back if IV is in tact
discontinue if blood has clotted and fluid does not run
what happens if IV flow stops? - ANSWER:check site for infiltration
discontinue and restart IV if infiltrated or clotted off
check tubing for kinks
reposition the patient
release tape above the site and re-tape
how does height of an IV pole affect IV therapy? - ANSWER:-if not hung high enough
there will not be enough pressure to force fluid into vein
-the higher the bag is hung, the greater the gravitational pressure on the IV fluid to
go downward thru tubing
-hang IV bag at least 3 feet about the patients heart
example of isotonic solutions? - ANSWER:0.9% normal saline
lactated ringers solution
5% dextrose in water
example of hypotonic solutions? - ANSWER:0.45% saline used to rehydrate, cells shift
fluid into cells, used for dehydration
example of hypertonic solutions? - ANSWER:-10% dextrose in water
-3% saline
how to restrain the child, when starting the IV in hand or foot? - ANSWER:when
securing to armband, use clear tape to allow visualization of the IV site
what does recent research show on the effectiveness of substituting saline flushes
for heparin? - ANSWER:it reduces the risk of phlebitis, low incidence of side effects
Therapeutics 8th edition
occurs when IV fluids leak into surrounding tissue, cool blanched area around
insertion site - ANSWER:infiltration
what causes infiltration? - ANSWER:improper placement or dislodgment of the cath
signs of infiltration? - ANSWER:edema around IV site
skin cool to touch
mild to moderate pain
skin tight
IV site is white, cool, swollen, tender
how often do you change solution bad, tubing and dressing? - ANSWER:24-96 hours
how often do you change peripheral IV sites? - ANSWER:at least every 7 days per
CDC
how often do you change intermittent IV tubing? - ANSWER:24 hours
how often do you change continuous IV tubing? - ANSWER:96 hours
used primarily for children
tuning pinched just below port
med added into the port and flows up towards the IV bag
tubing released and allows med to travel slowly into the vein - ANSWER:retrograde
technique
generally used where tubing is pinched above the port and the IV flow stopped while
the med is pushed into the tubing - ANSWER:antegrade technique
how to prevent fluid overload ? - ANSWER:monitoring rate
use mini drip
small bags of fluid
controller devices
signs of fluid overload? - ANSWER:SOB
tachycardia
crackles in lungs
, inflammation of the vein, red streak at site, swelling, pain, prevent by using as small
as a needle as possible, tape the tubing and cath to prevent irritation, erythema,
warmth and slight induration, a palpable venous cord can accompany -
ANSWER:phlebitis
how often do you change IV site? - ANSWER:7 days
how to prevent air in tubing? - ANSWER:prime carefully
use a needle to aspirate air if tapping does not move the air to the port or drip
chamber
what happens if drip chamber is over full? - ANSWER:invert bag and squeeze drip
chamber to expel fluid back in bag
what happens if blood backs up into the tubing? - ANSWER:raise the bag or lower
the arm
increase flow rate briefly to flush blood back if IV is in tact
discontinue if blood has clotted and fluid does not run
what happens if IV flow stops? - ANSWER:check site for infiltration
discontinue and restart IV if infiltrated or clotted off
check tubing for kinks
reposition the patient
release tape above the site and re-tape
how does height of an IV pole affect IV therapy? - ANSWER:-if not hung high enough
there will not be enough pressure to force fluid into vein
-the higher the bag is hung, the greater the gravitational pressure on the IV fluid to
go downward thru tubing
-hang IV bag at least 3 feet about the patients heart
example of isotonic solutions? - ANSWER:0.9% normal saline
lactated ringers solution
5% dextrose in water
example of hypotonic solutions? - ANSWER:0.45% saline used to rehydrate, cells shift
fluid into cells, used for dehydration
example of hypertonic solutions? - ANSWER:-10% dextrose in water
-3% saline
how to restrain the child, when starting the IV in hand or foot? - ANSWER:when
securing to armband, use clear tape to allow visualization of the IV site
what does recent research show on the effectiveness of substituting saline flushes
for heparin? - ANSWER:it reduces the risk of phlebitis, low incidence of side effects
