IV Basics
One major disadvantage of IV therapy is the possibility of this condition if the solution volume is large or the infusion rate is rapid.
What is fluid overload?
This general category of IV access involves short catheters inserted into small veins, usually in the arm or hand.
What is Peripheral Intravenous (PIV) access?
CLABSI stands for this.
What is Central Line Associated Blood Stream Infection?
This method of medication delivery is typically given over 3-5 minutes directly through a PIV or CVAD needleless connector.
What is IV Push?
This complication occurs when IV solution leaks into the subcutaneous tissue.
What is infiltration?
This is a disadvantage of IV therapy that means there's little time to correct errors because adverse effects can occur quickly
What is immediate absorption?
This type of access involves catheters inserted into a large vein with its tip terminating in the central venous circulation.
Question: What is Central Venous Access Device (CVAD)?
This is the best way to prevent infection.
What is hand hygiene?
After an IV push medication, you must flush the IV line with normal saline at this rate.
What is at the same rate as the medication administration?
This complication occurs when a vesicant solution leaks into the subcutaneous tissue.
What is an extravasation?
Failure to maintain proper surgical asepsis during IV procedures can lead to these two types of infections.
What is local/systemic infections?
This term refers to the diameter of the cannula, where a bigger number indicates a smaller diameter.
What is gauge?
This critical step should be done to the hub with alcohol to reduce CLABSI risk.
What is scrubbing the hub?
This method of IV medication delivery involves receiving medication at a defined rate over a defined period of time.
What is continuous infusion?
Clinical manifestations of phlebitis include edema, throbbing/burning/pain, increased skin temperature, and this along the vein.
What is a red line up the arm (or erythema)?
At the start of every shift, nurses should perform this type of assessment for the IV site.
What is a baseline assessment (or assessment and documentation)?
This type of CVAD is inserted into a subcutaneous pocket and is primarily used for long-term home IV therapy, intermittent infusions, or chemotherapy.
What is an Implanted Port?
In an emergent situation, this CVAD location is typically used. However, it is best practice to move the CVAD to another location when able to.
What is a femoral CVAD site?
In an intermittent IV (piggyback) setup, the primary fluid bag must be positioned this way relative to the piggyback.
What is lower than the piggyback?
This occurs when proper maintenance does not occur with a CVAD (including: proper insertion, proper dressing changes, scrubbing the hub with alcohol, labeling lines, placing antimicrobial end caps on all ports, etc).
What is a CLABSI?
When flushing a CVAD, this technique helps to create turbulence and clear blood and medication from the line.
What is pulsing (push-stop-push-stop) flush?
For all CVADs, this diagnostic test is required to confirm proper position before use.
What is a chest x-ray?
These are used to keep each port clean when not in use. They are single use only.
What are passive disinfection caps?
When two or more medications can be combined without producing harmful effects or impairing their action, they are said to have this.
What is compatibility?
This step of PIV insertion helps prevent dislodgement of a PIV.
What is anchoring the tubing?