What's The Setup
When pulling an IV fluid, what 2 items should you check?
Expiration date and clarity of fluid
Before you can calculate the drip rate, what information do you need to obtain from the order?
mLs/hour ordered
In what position do you place the patients arm for IV insertion?
Dependent
When monitoring an IV site, what signs and symptoms are a cause for concern?
Redness, swelling, pain, warmth
Fluids with large molecules that do not pass through semipermeable membranes are called?
When removing the tubing from the package, what 2 actions do you perform?
Straighten the tubing and CLOSE THE CLAMP
Before you can calculate the drip rate, what information do you need to obtain from the tubing package?
drops/mL
Where do you place the tourniquet on the arm?
4-8 inches above the insertion site.
When fluids leak from around the catheter, this is called?
Infiltration
A solution with a concentration similar to plasma is called?
Isotonic
After inserting the tubing and hanging the solution on the IV pole, what is the next step?
Fill the drip chamber half way.
Before you calculate the drip rate, what equipment is required?
Watch
What vein do you select based on anatomy?
Most distal
How often should IV sites be rotated (in adults)
Q72H (or per facility policy)
What fluid is used to replace GI tract loss, fistula drainage, and loss from burns?
LR (Lactated Ringers)
After priming the tubing, what is the next step?
Inspect for air in the tubing.
How long do you count the drip when regulating the IV flow rate?
Under what circumstances do you avoid using an arm or hand?
Dialysis access and mastectomy
What are the most common complications of peripheral IV's
Infiltration, extravasation, phlebitis
What type of fluid is used to treat patient's with intracellular dehydration?
Hypotonic
What is the first thing you should do when preparing to set up an IV solution?
Check the physicians order
After setting the drip rate, how often do you monitor the infusion?
When scrubbing the insertion site, what are the two most important aspects of cleansing?
Clean for 15 seconds AND use lots of friction
If the patient develops phlebitis, what should the nurse do?
STOP infusion, DC IV, THOROUGHLY assess site
What type of fluid would be given to patients with cerebral edema?
Hypertonic