IV Therapy

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Questions and Answers

What is the primary purpose of daily weight monitoring in patients receiving IV therapy?

To monitor blood sugar levels

To evaluate fluid balance (correct)

To assess medication effectiveness

To check for signs of infection

Which step is crucial in preventing infection during peripheral IV insertion?

Disinfecting the site properly (correct)

Attaching the IV as quickly as possible

Applying a tourniquet tightly

Using the largest possible angiocath

What is the recommended frequency for blood glucose monitoring in patients receiving IV TPN?

Every hour

Every 2 hours

Once daily

Every 4 or 6 hours (correct)

Which of the following IV lines is classified as a central line?

Hickman catheter Signup and view all the answers

What is a common complication associated with improper IV therapy management?

Tissue necrosis Signup and view all the answers

In the process of peripheral IV insertion, when should the tourniquet be released?

After flashback is observed Signup and view all the answers

What is the preferred method for flushing the J-loop during IV preparation?

Aseptic technique Signup and view all the answers

Which characteristic defines a Peripherally Inserted Central Catheter (PICC)?

Inserted peripherally and terminates centrally Signup and view all the answers

What is the first step to take when preparing to administer IV medications?

Check the MAR/Orders Signup and view all the answers

When administering IV medications, why is it crucial to ensure medication compatibility?

To prevent adverse medication reactions Signup and view all the answers

Which action is least likely to contribute to proper aseptic technique when administering an IV push?

Injecting the medication rapidly Signup and view all the answers

What should be done after injecting the medication through a saline lock?

Swab the injection site with alcohol again Signup and view all the answers

What might be a complication of IV therapy if proper aseptic technique is not followed?

Infection at the injection site Signup and view all the answers

Which of the following best describes the purpose of using IV push medications?

To provide immediate therapeutic effects Signup and view all the answers

What type of IV line is most appropriate for administering medications intermittently?

Saline lock Signup and view all the answers

Which step should be omitted if using a pre-filled medication syringe?

Prime the syringe Signup and view all the answers

What is a primary reason for using a PICC line?

Facilitating outpatient IV therapy lasting over 2 weeks Signup and view all the answers

Which of the following is a complication specifically associated with PICC lines?

Air embolism Signup and view all the answers

How frequently should the insertion site of a PICC line be assessed?

Every shift and every time medications are given Signup and view all the answers

Which statement describes a midline catheter?

Is typically 8 inches long Signup and view all the answers

Which of the following is NOT a nursing consideration for a PICC line?

Changing the dressing only when visibly dirty Signup and view all the answers

What is an important characteristic of the triple lumen catheter?

Allows for simultaneous administration of different IV therapies Signup and view all the answers

What should be done with the clamps on a PICC line when not in use?

They should be closed to maintain integrity of the line Signup and view all the answers

Which is an essential consideration when setting up IV infusion tubing?

Always check the ordered solution against the patient ID Signup and view all the answers

Which of the following best defines the purpose of the PICC line?

To provide long-term access for IV medications Signup and view all the answers

What is the maximum duration a midline catheter can typically remain in place?

4 weeks Signup and view all the answers

Study Notes

PICC Line

Peripherally Inserted Central Catheter used for extended IV therapy, total parenteral nutrition (TPN), or limited peripheral access.
Inserted by trained personnel (RN or radiologist) and can remain in place for months, ending in the superior vena cava.
Multiple ports allow for various medication delivery points.

Nursing Considerations for PICC Line

No blood pressure measurement on the arm with the PICC line.
Assess insertion site regularly: every shift, every 2 hours, and with medication administration.
Change dressing routinely and keep clamps closed when not in use.

Complications of PICC Line

Possible complications include infections, thrombosis, non-thrombotic occlusion, phlebitis, mal-position, and air embolism.

Midline Access Device

Midline catheter measures about 8 inches, typically used for antibiotic therapy, and can stay for up to 4 weeks.
Not suitable for TPN administration.

Other Central Lines

Includes variety of devices like Triple Lumen Catheter, Tunneled catheters, Femoral Triple Lumen, and Port-a-Cath.

Central Line Dressing

Dressing changes frequency determined by hospital policy, or when dressing is soiled or detached.
Required equipment: sterile gloves, mask, chloraprep, biopatch, transparent dressing, and tape.

IV Infusion

IV administration safest method with programmed dosage, minimizing air embolism risks.
Must follow FDA regulations; ensure tubing is primed and connected properly.

IV Infusion Protocol

Check patient ID, maintain hand hygiene, and keep caps on uncapped ends until ready to attach.
Monitor daily weight and intake/output (I&O); change tubing every 24 hours and use a filter.
Blood glucose levels should be monitored every 4 to 6 hours.

Vascular Access Devices Overview

Types include peripheral lines, PICC, midline access devices, and various central catheters (e.g., subclavian, internal jugular, femoral lines).

Peripheral IV Insertion Steps

Gather supplies: start kit, clean gloves, j-loop, saline flush, and appropriate angiocath.
Prepare the site by disinfecting, placing a tourniquet, and selecting a suitable vein.
Insert cannula following aseptic technique, ensuring proper flow direction.

Post-Insertion Protocol

After flashback, advance needle slightly, retract, attach IV, and flush with normal saline.
Apply a sterile transparent dressing, assess the site every 2-4 hours, and secure the tubing.

Administering IV Medications

For IV push through a continuous infusion:
- Check medication orders, ensure compatibility, perform hand hygiene, and verify patient identification.
- Cleanse the injection port, inject slowly, and document on the medication administration record (MAR).

IV Push through Saline Lock

Use a 10 ml syringe of normal saline, cleanse injection port, and flush with 2-3 ml of saline before medication administration.
Follow with flushing again and chart on MAR after ensuring aseptic technique.

IVPB (IV Piggyback)

Utilized for various medications including antibiotics and electrolyte replacements.
Must ensure compatibility with primary IV solution and adhere to aseptic principles during administration.

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Description

This quiz covers the essential aspects of Peripherally Inserted Central Catheters (PICC Lines), focusing on their indications and applications. It is designed for healthcare professionals and students to enhance their knowledge of IV therapy practices.