IV therapy
Complications
IV Medications
This and That
IV calculations
100
This is one of the responsibilities of the nurse taking care of a patient with an intravenous.
What is monitor the site/help patient with daily care/etc.
100
In this complication the IV site is erythematous, warm to touch, with possible tracking up the vein.
What is phlebitis?
100
This IV additive should never be given as a bolus....it's FATAL!
What is potassium chloride?
100
When running your piggybacked medication, this is how the main IV solution should be positioned.
What is lower than the piggyback medication?
100
This is how fast you will run your IV (in gtt/min) when the doctor has ordered IV 2/3 & 1/3 2000 mL over 24 hours. The drip factor is 15 gtt/mL.
What is 21 gtt/min? 2000 / 24 = 83.3 83.3 x 15 / 60 = 20.8 or 21 gtt/min
200
These are 3 of the possible reasons that an IV is not running properly
What is Height of solution, Kink in the tubing, Restrictive dressings, Position of extremity, Catheter against vein wall, Clot in vein, Infiltration
200
This complication is characterized by SOB, respiratory crackles, distended neck veins, and possible peripheral edema.
What is fluid volume excess (fluid overload)?
200
Premixed medications from pharmacy may be found in either of these places.
What is in the fridge or the patient's medication drawer?
200
You perform your calculations (and recalculations) for medications, or IV drip rates at this stage in your 3 checks.
What occurs after the 2nd and 3rd checks?
200
200 mL of D5W is to infuse over 4 hours via microdrip tubing. This is how many drops per minute.
What is 50 gtt/min 200 / 4 = 50 mL/h 50 x 60 / 60 = 50 gtt/min
300
This is the technique used when when initiating, changing the bag, changing the tubing, changing the dressing, or any time the IV is accessed. .
What is strict aseptic technique?
300
This has happened when the IV site is edematous, cool to touch, pale, and the intravenous flow rate has stopped running.
What is the IV is interstitial/infiltrated?
300

We ALWAYS do this before deciding how fast to give a medication.

What is verify the rate at which the medication must be given – pharmacy, drug book

300
These are 3 advantages of a saline lock.
What are independence, increased mobility, cost effectiveness, reduced fluid intake, increased comfort, increased safety, convenient, quick IV access?
300
This is how fast you will run your IV (in gtt/min) when doctor has ordered IV Ringer's Lactate at 75 mL/h. The drop factor is 10 gtt/mL.
What is 13 gtt/min? 75 x 10 / 60 = 12.5 or 13 gtt/min
400
These are the 4 possible reasons to initiate IV therapy.
What are Fluid & electrolyte replacement, Medications, Blood administration, Nutrition replacement?
400
This complication is a medical emergency characterized by respiratory distress, SOB, increased heart rate, cyanosis, decreased BP, shock, anxiety, chest pain, and a change in LOC.
What is an air embolus?
400
In this medication set up, the medication is mixed in a small amount of IV fluid within a 'mini-bag' and infused through the main IV tubing via the upper Y port.
What is piggyback?
400
This is how often saline locks are flushed, and how often IV dressings are changed.
What is "as per hospital policy"?
400
This is how fast you will run your IV (in gtt/min) when the doctor has ordered 0.9 NaCl 400 mL over 24 hours. The tubing is microdrip.
What is 17 gtt/min? 400 / 24 = 16.6 16.6 x 60 / 60 = 16.6 or 17 gtt/min
500
This is the amount of time between IV checks.
What is 1 hour?
500
This complication is characterized by exudate at the IV site, erythema, pain at the site, chills and shaking, and fever.
What is an infection?
500
Before you start to prepare your patient's 09:00 cefazolin, you must do this.
What is verify the medication administration record against the doctor's order.
500

This is what you would do should your client's intravenous become reddened, warm to touch and painful.

What is remove the IV and apply warm compresses?

500
This is how fast you will run your IV (in gtt/min) when the doctor has ordered Cefazolin 1 gram IV diluted to 50 mL with 0.9 NaCl over 30 min. The drop factor is 10 gtt/mL.
What is 17 gtt/min? 50 x 10 / 30 = 16.7 or 17 gtt/min
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