Podcast
Questions and Answers
What is the primary purpose of daily weight monitoring in patients receiving IV therapy?
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?
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?
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?
Which of the following IV lines is classified as a central line?
What is a common complication associated with improper IV therapy management?
What is a common complication associated with improper IV therapy management?
In the process of peripheral IV insertion, when should the tourniquet be released?
In the process of peripheral IV insertion, when should the tourniquet be released?
What is the preferred method for flushing the J-loop during IV preparation?
What is the preferred method for flushing the J-loop during IV preparation?
Which characteristic defines a Peripherally Inserted Central Catheter (PICC)?
Which characteristic defines a Peripherally Inserted Central Catheter (PICC)?
What is the first step to take when preparing to administer IV medications?
What is the first step to take when preparing to administer IV medications?
When administering IV medications, why is it crucial to ensure medication compatibility?
When administering IV medications, why is it crucial to ensure medication compatibility?
Which action is least likely to contribute to proper aseptic technique when administering an IV push?
Which action is least likely to contribute to proper aseptic technique when administering an IV push?
What should be done after injecting the medication through a saline lock?
What should be done after injecting the medication through a saline lock?
What might be a complication of IV therapy if proper aseptic technique is not followed?
What might be a complication of IV therapy if proper aseptic technique is not followed?
Which of the following best describes the purpose of using IV push medications?
Which of the following best describes the purpose of using IV push medications?
What type of IV line is most appropriate for administering medications intermittently?
What type of IV line is most appropriate for administering medications intermittently?
Which step should be omitted if using a pre-filled medication syringe?
Which step should be omitted if using a pre-filled medication syringe?
What is a primary reason for using a PICC line?
What is a primary reason for using a PICC line?
Which of the following is a complication specifically associated with PICC lines?
Which of the following is a complication specifically associated with PICC lines?
How frequently should the insertion site of a PICC line be assessed?
How frequently should the insertion site of a PICC line be assessed?
Which statement describes a midline catheter?
Which statement describes a midline catheter?
Which of the following is NOT a nursing consideration for a PICC line?
Which of the following is NOT a nursing consideration for a PICC line?
What is an important characteristic of the triple lumen catheter?
What is an important characteristic of the triple lumen catheter?
What should be done with the clamps on a PICC line when not in use?
What should be done with the clamps on a PICC line when not in use?
Which is an essential consideration when setting up IV infusion tubing?
Which is an essential consideration when setting up IV infusion tubing?
Which of the following best defines the purpose of the PICC line?
Which of the following best defines the purpose of the PICC line?
What is the maximum duration a midline catheter can typically remain in place?
What is the maximum duration a midline catheter can typically remain in place?
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.
