IV Therapy 1
Name three possible complications of IV therapy.
What is:
Infiltration
Phlebitis
Extravasation
Thrombophlebitis
Speed Shock
Air Embolus
Infection
Catheter Embolus
Circulatory Overload
Allergic Reaction
Inflammation of a vein
Phlebitis
What are some nursing interventions for managing infiltration during IV therapy?
Stop the infusion
Remove the catheter
Restart the IV
True or false: You should never administer IV medications through tubing that is infusing blood, blood products, or parenteral nutrition solutions (TPN, PPN).
True
A patient receiving IV therapy complains of pain in his/her arm, chills, and "not feeling well." The nurse notes edema, warmth, and red streaking on the patient's arm. What should the nurse do first?
Discontinue the infusion
What is the primary nursing intervention for extravasation during peripheral IV therapy?
What is:
(1) Stop infusion
(2) Apply a cold compress
(3) Administer the appropriate antidote if available
What reaction can cause shortness of breath, elevated temperature, angioedema, rash, itching, chills, pain, and possible death?
Transfusion reaction
What are some nursing interventions for managing infiltration during IV therapy?
Discontinue the IV
Apply warm compress
Restart IV
What type of solution hydrates cells and reduces the fluid in the circulatory system?
Hypotonic
What is missing from this order: Azithromycin 250 mg IVPB?
What is the frequency.
What is the difference between infiltration and phlebitis in IV therapy.
What is:
-Infiltration involves the leakage of fluid into the surrounding tissue.
-Phlebitis is inflammation of the vein.
A 20-gauge catheter or larger is needed to administer what product
Blood products
What is extravasation related to IV therapy?
Leakage of vesicant medications or fluids into the surrounding tissue.
What is the ONLY fluid that can be administer with blood transfusions?
0.9% Sodium Chloride (Normal Saline or NS)
What is a nursing intervention when your patient is experiencing speed shock?
-Discontinue the infusion
-Notify the healthcare provider
-Monitor vital signs frequently
How often should the access site for peripheral IV therapy be replaced?
What is every 72 hours
What is changed every 72-96 hours to reduce complications?
Obstruction of vessel by air caused by disconnection between IV catheter and IV tubing, IV bag running dry, or infusion of air into the tubing.
What is air embolism
Which IV complication presents with increased blood pressure, dyspnea, crackles, edema, and shortness of breath?
What is circulatory overload
This complication is caused by rapid IV infusion of medication or solution.
What is speed shock
What is the first step in managing a suspected infection related to peripheral IV therapy?
Stop the infusion
Inflammation of the veins that includes edema, throbbing, burning, and warmth to the touch. A red line can be visible up the arm and palpable cord is present.
What is phlebitis
IV solution or medication that leaks into the tissue.
What is infiltration
Where should the primary bag be when the secondary line is being used?
What is: lower than the secondary line
The nurse is caring for a patient on the med-surg unit. Vital signs are: BP 90/52-R 28- HR 120- Temp 102.4. The patient appears to be confused. What complication is most-likely occurring with this patient?
Septic