IV Placement and Contrast Guidelines

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Which veins in the upper extremity are commonly used for IV placement?

Saphenous veins and brachial arteries

Medial marginal, radial, and ulnar veins

Inferior vena cava, jugular, and femoral veins

Basilic, cephalic, and metacarpal veins (correct)

What is the reason for assessing bifurcations and valves prior to IV placement?

To select the right antiseptic for cleansing

To determine the best insertion site (correct)

To measure the patient's blood pressure

To identify the size of the catheter needed

Which materials are not necessary for the insertion of an IV catheter?

Tourniquet

Gloves

Sutures (correct)

Antimicrobial agent to cleanse

In the pediatric population, why is accessing veins in the foot and ankle preferred?

It is less visible to small children, decreasing anxiety Signup and view all the answers

What is the maximum time a tourniquet should be applied?

2 minutes Signup and view all the answers

Which condition is an absolute indication for using IV iodinated contrast?

Cancer work-up or follow-up Signup and view all the answers

What is a common risk associated with the use of iodinated contrast?

Contrast-induced nephropathy Signup and view all the answers

Which of these factors would require premedication before administration of IV contrast?

Iodinated contrast allergy Signup and view all the answers

Which group of patients should not receive oral gastrografin due to a contraindication?

Patients at risk for aspiration Signup and view all the answers

What is the maximum weight limit for standard newer angiography tables?

450 pounds Signup and view all the answers

What should be done regarding blood thinners before a procedure involving IV contrast?

They should be held for an appropriate time Signup and view all the answers

Which of the following is NOT a condition that would require consulting with interventional radiology for access?

Chronic migraines Signup and view all the answers

What is the primary reason that pregnant women are considered contraindicated for certain forms of contrast?

Potential harm to the fetus Signup and view all the answers

What is the primary use of Nylon or Prolene sutures in a surgical context?

For sewing in mesh and vascular anastomoses Signup and view all the answers

Which type of knot is considered super strong and used to close tissues under tension?

Surgeon’s Knot Signup and view all the answers

What could be a complication of using too few throws in a surgical knot?

Weak knot that may unravel Signup and view all the answers

What is a characteristic of a slip knot compared to a square knot?

It allows for easy tightening after placement. Signup and view all the answers

What should be maintained to avoid complications like dehiscence during suturing?

A comfortable working distance of 4-6 inches Signup and view all the answers

When tying surgical knots, why is it important to avoid excessive bulk?

Excessive bulk can lead to ischemia and strangulation of tissue. Signup and view all the answers

What technique is used when only one tail is free during knot tying?

One-handed knot tying method Signup and view all the answers

Which of the following describes a correctly tied square knot?

Knot consists of two throws that cross each other. Signup and view all the answers

What is a common complication of phlebotomy that relates to the immune system?

Latex or adhesive allergy Signup and view all the answers

Which complication is specifically associated with IV catheter insertion?

Local site infection Signup and view all the answers

What is the preferred site for venipuncture due to its prominence and accessibility?

Median cubital vein Signup and view all the answers

Which complication can arise from IV fluid administration in patients with too much fluid intake?

Hypervolemia Signup and view all the answers

What role do one-way valves play in the veins during blood circulation?

Prevent backflow of blood Signup and view all the answers

What is a common sign of dehydration when receiving hypotonic solutions?

Tachycardia Signup and view all the answers

Which condition is a rare systemic complication associated with IV catheter insertion?

Catheter emboli Signup and view all the answers

Which type of knot is considered reliable and strong when crossing over the midline?

Square Knot Signup and view all the answers

Which anatomical area is primarily used for venipuncture due to the presence of superficial veins?

Cubital fossa Signup and view all the answers

In which scenario might prolonged bleeding occur during phlebotomy?

In patients with coagulopathies Signup and view all the answers

Which condition does NOT indicate an increased fluid need?

Dehydration Signup and view all the answers

What is a potential indicator of volume overload in a patient?

Jugular vein distention Signup and view all the answers

What type of suture is designed to break down over time?

Braided suture Signup and view all the answers

Which statement regarding IV site care is correct?

The IV site should be changed every 96 hours. Signup and view all the answers

Which of the following principles apply when performing a venipuncture?

Follow standard precautions. Signup and view all the answers

What might a patient report if they are developing an infection at the IV site?

Increased pain and redness Signup and view all the answers

What is a significant consideration when interpreting imaging exams overnight?

Access may be limited and some exams may not be read overnight. Signup and view all the answers

What challenge is mentioned regarding patient mobility and cooperation during imaging exams?

Long exams can affect patient cooperation. Signup and view all the answers

How does the weight of a patient influence the quality of imaging results?

Increased weight typically leads to a decline in image quality. Signup and view all the answers

What is a primary risk associated with Computed Tomography (CT) scans?

High mortality/morbidity due to radiation exposure. Signup and view all the answers

What is a key requirement for abdominal examinations in patients undergoing MRI?

Patients should be NPO for at least 4 hours. Signup and view all the answers

Which of the following accurately describes access to imaging services?

CT services are typically available any time in most centers. Signup and view all the answers

What precaution is necessary for the use of IV contrast during imaging exams?

IV access must be established to accommodate the injection. Signup and view all the answers

What risk is associated with MRI procedures compared to CT scans?

MRI poses no radiation exposure risk. Signup and view all the answers