Podcast
Questions and Answers
What type of IV catheter is intended for long-term use and is inserted above the antecubital fossa?
What type of IV catheter is intended for long-term use and is inserted above the antecubital fossa?
Which solution has the highest solute concentration and the lowest water concentration?
Which solution has the highest solute concentration and the lowest water concentration?
What is the primary purpose of a Secondary IV Tubing?
What is the primary purpose of a Secondary IV Tubing?
What is an acceptable size range for IV bags?
What is an acceptable size range for IV bags?
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How often are IV fluid orders written by healthcare providers?
How often are IV fluid orders written by healthcare providers?
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Which type of catheter is described as fitting over a needle for intravenous access?
Which type of catheter is described as fitting over a needle for intravenous access?
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Which type of solution matches body fluids in solute concentration?
Which type of solution matches body fluids in solute concentration?
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What characteristic should be checked during an IV bag inspection?
What characteristic should be checked during an IV bag inspection?
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What essential practice should be performed prior to IV medication administration?
What essential practice should be performed prior to IV medication administration?
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Which condition is characterized by inflammation of the vein's inner lining?
Which condition is characterized by inflammation of the vein's inner lining?
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What can lead to circulatory overload during IV therapy?
What can lead to circulatory overload during IV therapy?
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What should be used to maintain the patency of IV access?
What should be used to maintain the patency of IV access?
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What technique is used for administering medication through a saline lock?
What technique is used for administering medication through a saline lock?
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What is the primary goal of ensuring IV access patency?
What is the primary goal of ensuring IV access patency?
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What is indicated by purulent drainage at the catheter insertion site?
What is indicated by purulent drainage at the catheter insertion site?
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What is the effect of using a warm compress during IV therapy?
What is the effect of using a warm compress during IV therapy?
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Which complication of IV therapy involves swelling due to fluid leaking into surrounding tissue?
Which complication of IV therapy involves swelling due to fluid leaking into surrounding tissue?
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What does infiltration mean in the context of IV therapy?
What does infiltration mean in the context of IV therapy?
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What type of drug is commonly used to treat bacterial infections in IV therapy?
What type of drug is commonly used to treat bacterial infections in IV therapy?
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How often should IV dressings be changed?
How often should IV dressings be changed?
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What is the appropriate action before connecting a secondary IV to a primary IV?
What is the appropriate action before connecting a secondary IV to a primary IV?
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What complication results from vesicant drugs leaking into surrounding tissue?
What complication results from vesicant drugs leaking into surrounding tissue?
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What is documented on a medication label in IV therapy?
What is documented on a medication label in IV therapy?
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What does the volume of fluid delivered per time unit represent in IV therapy?
What does the volume of fluid delivered per time unit represent in IV therapy?
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What is the drop factor used in fluid rate calculation?
What is the drop factor used in fluid rate calculation?
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What does the term 'cellulitis' refer to in the context of complications from IV therapy?
What does the term 'cellulitis' refer to in the context of complications from IV therapy?
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What is the maximum hang time for blood products during IV therapy?
What is the maximum hang time for blood products during IV therapy?
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What process involves the safe removal of an IV catheter from a vein?
What process involves the safe removal of an IV catheter from a vein?
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Which of the following best describes phlebitis?
Which of the following best describes phlebitis?
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In terms of IV solution types, what does isotonic mean?
In terms of IV solution types, what does isotonic mean?
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What is the primary purpose of hand hygiene in IV therapy?
What is the primary purpose of hand hygiene in IV therapy?
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What characterizes non-vented tubing in IV administration?
What characterizes non-vented tubing in IV administration?
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Study Notes
Intravenous Therapy
- Administration: Substances are administered directly into a vein.
- Peripheral IV Catheter: Short-term catheter inserted into the hand or forearm.
- PICC Catheter: Long-term catheter inserted above the antecubital fossa.
- Midline Catheter: Intermediate catheter (3-8 inches long) inserted in upper arm veins (1-3 lumens).
- Central Venous Catheter: Used for a variety of IV purposes.
- Over the Needle Catheter: A plastic catheter that fits over a needle, used to pierce a vein for IV access.
- Angio-Catheter: A catheter that stays in the vein after a needle is removed.
- Hypertonic Solution: High solute concentration, low water concentration.
- Isotonic Solution: Same solute concentration as body fluids.
- Hypotonic Solution: Low solute concentration, high water concentration.
IV Fluid Administration
- IV Fluid Orders: Written by healthcare providers every 24 hours. Available in volumes from 50 mL to 1000 mL.
- IV Bag Inspection: Check for name, size, expiration date, clarity, and leaks.
- CDC Hang Time: Duration a IV bag can hang.
- Primary IV Tubing: Used for main IV fluid administration.
- Secondary IV Tubing: Used for IV piggyback medications.
- Drop Factor: Number of drops per milliliter in IV tubing.
- Infiltration: IV fluid entering subcutaneous tissue instead of a vein.
- Phlebitis: Vein inflammation from various causes.
- IV Piggyback: Smaller IV bag (50-200 mL) used with a primary IV bag; check for compatibility.
- Fluid Rate Calculation: Volume x drop factor / time in minutes.
- Skin Turgor Assessment: Evaluates hydration status in older adults, including pneumothorax, and infection risks.
- IV Administration Steps: Includes hand hygiene, patient identification, and assessment.
- IV Solution Compatibility: Check compatibility before connecting a secondary IV to a primary.
- IV Tubing Lengths: Primary is 76-112 inches, Secondary is 37 inches.
- IV Solution Types: Hypertonic, isotonic, hypotonic based on solute concentration.
Additional IV Considerations
- Total Parenteral Nutrition: Administered over 12-24 hours.
- Blood Hang Time: Maximum of 4 hours for blood products.
- Vented Tubing: Allows air into IV bag during infusion.
- Non-Vented Tubing: Does not allow air entry, used for certain solutions.
- Infection: Erythema, heat, swelling, pain/tenderness, possible drainage at catheter entrance site.
- IV Push Medications: Direct injection of concentrated drug into circulation.
- Infusion Pumps: Devices that deliver fluids via mechanical pressure.
- IV Access Patency: Ensuring IV line is open and unobstructed.
- Flow Rate: Volume of fluid delivered per time unit (mL/hr) and includes details like date, time, and initials.
- Medication Labeling: Includes name, dosage, rate, date, and initials.
- Saline Lock: Saline flush, administer medication, then saline flush.
- SAS Technique: Essential practice before IV medication administration, used to maintain patency.
- Complications of IV Therapy: Infiltration, phlebitis, cellulitis, hematoma.
- IV Discontinuation: Safely removing IV catheter from vein. Documentation of patient intake and output. Reassess patient within 30 minutes post-injection.
- Drug Libraries: Standardized drug concentrations in infusion pumps. Alerts for infusions exceeding best practice.
- Dose Error Reduction Systems: Standardized drug concentrations in infusion pumps; alerts for infusions exceeding best practice.
- IV Dressing Change: Change every 96 hours or as needed.
- Patient Monitoring: Regular checks for safe IV fluid infusion.
- IV Fluid Infusion Rate: Set according to healthcare provider's order.
- IV Equipment: Sterile gauze, gloves, tape (ensuring secondary solution compatibility with primary).
- IV Site Assessment: Check for redness, swelling, or drainage.
- Hand Hygiene, Essential practice before IV medication administration.
- Flush Solution: Used to maintain patency of IV access.
- Infiltration: IV fluids leak into surrounding tissues; causing swelling.
- Extravasation: Vesicant drug leaks, causing tissue damage.
Additional IV Procedures and Issues
- Phlebitis: Inflammation of the vein's inner lining.
- Thrombophlebitis: Phlebitis with blood clot formation.
- Catheter Embolism: Catheter fragment enters circulation.
- Circulatory Overload: Excessive IV fluid causing fluid overload.
- Infection: Infection at catheter insertion site.
- Bleeding: Oozing blood from venipuncture site.
- Hematoma: Localized swelling filled with blood.
IV Treatment Considerations
- Warm Compress: Used to promote vasodilation and absorption.
- Cold Compress: Used to promote vasoconstriction and reduce pain.
- Tourniquet: Device to control venous blood flow.
- Erythema: Redness of the skin due to inflammation.
- Tachycardia: Increased heart rate, often due to overload.
- Dyspnea: Shortness of breath, may indicate overload.
- Purulent Drainage: Thick fluid containing pus from infection.
- Antibiotics: Medications used to treat bacterial infections.
- Analgesics: Medications used to relieve pain.
- Antipyretics: Medications used to reduce fever.
- Vital Signs: Measurements of body functions, including heart rate.
- Compression Technique: Applying pressure to stop bleeding post-IV removal.
- Sterile Procedure: Technique to prevent infection during IV removal.
- Moist Compress: Used to promote healing and comfort.
- IV Flow Rate: Speed at which IV fluids are administered.
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Description
This quiz covers fundamental concepts of intravenous therapy, including various types of catheters and IV fluid solutions. Test your knowledge on administration techniques and the characteristics of hypertonic, isotonic, and hypotonic solutions. Perfect for healthcare professionals looking to refresh their skills.
