Questions and Answers
What is the recommended method for removing the loop mentioned in the text?
Using a 10 ml syringe to pull back and twist
Why is it not advisable to start an i o on the mentioned extremity or bone for the next 48 hours?
It may cause pain and damage
What can happen if people try to start an i o on the extremity despite the recommendation?
It may result in the needle going through one end of the bone and out the other
What is the primary indication for using an intraosseous (IO) procedure?
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Which bone is one of the primary IO insertion sites?
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What is a contraindication for the use of an IO needle?
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What is the advantage of using an IO procedure?
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Which site should be avoided for IO insertion if there has been another IO placed within the past 48 hours?
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What is found in the intramedullary space of a bone?
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Which color represents the smallest size of the IO needle for small patients?
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'Absence of anatomic landmarks' is a contraindication for IO insertions. What does this mean?
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'Failure of IV or prolonged IV insertion time' is an indication for IO insertions. What does this imply?
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What is the main disadvantage of using an IO procedure for medication administration?
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When should IO insertions be avoided due to fracture in the targeted bone?
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What is one of the advantages of using an IO procedure compared to IV insertion?
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What is the ideal site for needle insertion into the tibia for CPR or IO fluid administration?
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What angle is necessary for proper needle placement into the tibia?
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What risks are associated with going too low during needle insertion into the tibia?
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What should be done to prepare the site for needle insertion?
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What is used to aid the insertion of the needle into the tibia?
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What is attached to the needle after insertion for fluid administration?
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How long should the needle be left in a patient for CPR or IO therapy?
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Which equipment is required for the procedure of inserting a needle into the tibia for CPR or IO fluid administration?
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Where is the site for needle insertion identified?
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What should be used to secure the needle in place during fluid administration?
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What is used to flush fluid into the bone cavity during CPR or IO therapy?
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What risks are associated with going too high during needle insertion into the tibia?
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What is the recommended needle for patients over 40kg and those with a proximal humerus insertion site?
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Why should the needle not be flushed with air before insertion?
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What is the preferred insertion site for faster fluid flow and less pain?
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At what angle should the needle be inserted for the proximal humerus?
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Where should the surgical neck be palpated and marked for IO insertion into the proximal humerus?
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What is used to insert the selected needle into the bone?
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What is the suitable insertion site for cardiac arrest cases due to easier access?
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How far below and over from the tibial tuberosity is the suitable site for IO insertion into the proximal tibia?
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Why should the patient's arm be positioned with the biceps tendon out of the way for IO insertion into the proximal humerus?
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What is connected to the needle before insertion?
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What type of needle is best for the proximal tibia due to less adipose tissue?
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What type of patients is the yellow needle recommended for?
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Study Notes
- The text discusses the use of three different types of needles for Intraosseous (IO) infusions: blue, yellow, and the driver.
- The blue needle is best for the proximal tibia due to less adipose tissue.
- The yellow needle is a 45mm, 15-gauge needle recommended for patients over 40kg and those with a proximal humerus insertion site.
- The driver is used to insert the selected needle into the bone.
- Before insertion, the site is cleaned with a sterile swab, and a loop and flush are connected to the needle.
- The needle should not be flushed with air to prevent air embolisms.
- Site identification is crucial, with the proximal humerus preferred for faster fluid flow and less pain, while the proximal tibia is suitable for cardiac arrest cases due to easier access.
- To insert an IO into the proximal humerus, the patient's arm is positioned with the biceps tendon out of the way, and the surgical neck is palpated and marked one centimeter above.
- The needle is inserted at a 90-degree angle to the skin, one centimeter above the surgical neck.
- For the proximal tibia, the site is identified two centimeters below and over from the tibial tuberosity.
- The needle is inserted at a 90-degree angle to the skin, two centimeters below and over the tibial tuberosity.
