What is a normal body pH?
7.35-7.45
What is the difference between a tunneled and non tunneled catheter?
Tunneled: Anchored under the skin (more permeant)
Non tunneled: Anchored above the skin (more temporary)
Which types of lines can only be inserted by a physician?
CVC, Port
What signs upon assessment may make the nurse suspect a patient is dehydrated?
Decreased skin turgor, sunken eyes, dry mucus membranes
Which way should the bevel be facing with inserting a PIV?
What is considered acidosis and alkalosis?
Acidosis: A blood pH <7.35
Alkalosis: A blood pH >7.45
Which types of lines can be inserted by a trained RN?
You have attempted twice to insert a PIV in a patient. What should you do next?
Find someone else who is qualified to attempt or let the PCP know.
Tunneled CVC, Port, Triple lumen CVC
What is the difference between a 16g and a 24g angiocatheter? Please give examples of when you may use both.
16g: LARGE. used for trauma
24g: SMALL. used in infants
What is the difference between respiratory acidosis and metabolic acidosis?
Respiratory Acidosis: a lung disorder or issue with exhalation is causing the acidosis
Metabolic Acidosis: an issue with the kidneys is causing the body's blood pH to be acidic
What is a POC?
Point of care test. It is a diagnostic test that can be run outside of a laboratory with a rapid or reliable result.
In order to grab the correct gauge needle for a PIV on a patient you will need to know what?
When inserting an IV you hit the patient nerve. How would you conclude this has happened.
Pt complaining of shooting pain. You remove PIV immediately and notify the provider.
TREAT THE ISSUE
Hypovolemia: blood products, fluids, IV
Hypervolemia: diuretics, limit sodium intake, dialysis
Why do we draw tubes of blood in a certain order by color?
PIV
A patient receiving chemotherapy.
What complication are we preventing when we prime the tubing for an infusion?
Pulmonary embolism.
Infant: Heel
Adult: Finger
What is a midline catheter?
Considered a peripheral catheter, a midline reaches the subclavian or axillary vein. It should be considered for those with treatment over 1 week. It has a lower chance of becoming infected then a PICC line.
When calculating drip rate you need to know?
Volume, Time, Drip factor
What is a PICC catheter?
A catheter that is inserted through veins of the upper extremity or neck. The tip of the catheter is located in the superior venacava.
What is a vascular access port?
a device for vascular access that is implanted under the skin in the upper chest.