IV
This component of an IV set regulates the number of drops per milliliter delivered.
Drip chamber / drip factor
This IO insertion site is commonly used in adults.
Proximal tibia
When administering an IM injection, what angle should the needle typically be inserted?
90 degrees
This route is used for nitroglycerin administration in chest pain.
Sublingual (SL)
This occurs when IV fluid leaks into surrounding tissue instead of the vein.
Infiltration
This vein is commonly used when upper extremity access is not available in emergencies.
External jugular (EJ)
This IO site is commonly used in pediatric patients.
Proximal tibia or distal femur
This is the maximum volume typically recommended for a single IM injection in an adult deltoid.
1 mL
This IV access device is inserted in the arm but the catheter tip ends in a central vein near the heart and is often used for long-term antibiotics.
PICC line
This occurs when a medication causes damage to the vein lining.
Phlebitis
This gauge size is most commonly used for trauma or rapid fluid resuscitation.
14–16 gauge
This is the most common complication of IO access if fluids are infused too quickly or improperly.
Extravasation / compartment syndrome
A patient is receiving repeated IM injections of a medication. Why must the volume and site be rotated between doses?
To prevent decreased absorption and localized tissue saturation/irritation
This route bypasses first-pass metabolism and is commonly used in emergencies when IV access is delayed.
IO
This occurs when IV access is unintentionally placed into an artery.
Intra-arterial placement
This is the primary reason isotonic fluids are preferred for initial resuscitation
They stay in the intravascular space
This condition is a contraindication to IO placement in the affected limb.
Fracture in that bone
When preparing to give an intramuscular injection, what must you do after cleansing the site and before inserting the needle?
Allow the antiseptic to fully dry before injection
This access device is inserted into a large central vein and has the tip ending in the superior vena cava.
Central venous catheter (central line)
This is the most serious complication of IO or IV therapy involving infection spreading into the bloodstream.
Sepsis
This IV solution is commonly used for volume expansion in trauma or hypovolemia.
Normal saline (0.9% NaCl) or Lactated Ringer’s
When administering medications via IO access, drugs enter the systemic circulation through which anatomical pathway within the bone?
Medullary venous sinusoids (bone marrow vascular channels)
A 95 kg adult is prescribed 0.01 mg/kg of a medication IM. What total dose should be administered?
0.95 mg
When accessing an implanted vascular port for medication administration or blood sampling, what is the primary reason the initial aspirated fluid is removed and not used?
To prevent heparin lock solution from contaminating or diluting medications or blood samples
This complication involves air entering the venous system during IV administration.
Air embolism