IV start Initiating IV
Q: What are the appropriate IV sizes and locations for adults?
A: Adults: (18–20 gauge) for blood, surgery, rapid infusion. (22–24 gauge) for fragile veins/elderly. Locations: dorsal hand, forearm, antecubital for emergencies.
Q: What are the steps for IV insertion?
A: Verify order → gather supplies → hand hygiene → apply tourniquet → select site → cleanse with (chlorhexidine) → insert bevel up 10–30° → confirm (blood return) → advance catheter → release tourniquet → flush → secure with dressing → label site.
Q: What is the purpose of (Ampicillin 250 mg IV push over 3–5 min QID)?
A: (Antibiotic) for bacterial infection
Q: What are side effects of metoprolol?
A: (Bradycardia, hypotension, dizziness, fatigue).
Q: What should patients be taught about furosemide?
A: Expect frequent urination, monitor daily weight, report weakness/cramps.
Q: What are indications for central line use?
A: Long-term therapy, vesicant drugs, (TPN), frequent blood draws.
Q: What are the appropriate IV sizes and locations for pediatric patients?
A: Pediatrics: (22–24 gauge) most common. Sites: scalp veins (infants), dorsal hand, forearm.
Q: What interventions can help reduce patient pain/anxiety during IV insertion?
A: Explain procedure, distraction, topical anesthetic (lidocaine cream), warm compress, relaxation breathing.
Q: What pre-administration assessments are needed for ampicillin?
A: Check for (penicillin allergy), signs of infection, renal function.
Q: What is the purpose of (Morphine sulfate 2 mg IV push over 4–5 min) what is the push rate?
A: (Opioid analgesic) for pain relief.
push rate = 2mg/1ml in 4 minites
0.25/ min
0.25/min
0.25/min
0.25/min
= 1ml/4min
1
Q: What are side effects of furosemide?
A: (Hypokalemia, hypotension, dehydration, ototoxicity if given too fast).
Q: What are the types of central lines?
A: (PICC line), (Tunneled catheter), (Non-tunneled catheter), (Implanted port).
Q: What does the RN assess with every IV and how often?
A: Assess IV site for (redness), (swelling), (warmth/coolness), (pain), (drainage). Check (patency) with (normal saline) flush. Frequency: every 1–2 hours (per facility policy).
What must the RN know before giving an IV push med?
A: Drug name/classification, indication, safe push rate, dilution requirements, compatibility, patient allergies, potential (side effects/adverse reactions).
Q: What should patients be taught about ampicillin?
A: Take full course, report rash, diarrhea, or difficulty breathing.
Q: What pre-administration assessments are needed for morphine?
A: (Respiratory rate, BP, pain level). Hold if RR <12.
Q: What is the purpose of (Pantoprazole sodium 40 mg/10mL IV push over 2 min) what is the push rate?
A: (Proton pump inhibitor) reduces gastric acid, treats GERD/ulcers.
push rate = 10mL/2min
5ml per 1 minute +
5ml/1min =10mL/2min
Q: What should be assessed in central lines?
A: Signs of (infection), (patency), (blood return), dressing intactness.
Q: What should the RN do if infiltration occurs?
A: Stop infusion, remove IV, elevate extremity, apply warm compress.
What are the steps to IV push administration?
A: Verify order → hand hygiene → patient ID/allergy check → assess IV site → scrub hub → flush with (normal saline) → give medication at correct rate → flush again → monitor for (adverse effects).
Q: What are side effects of ampicillin?
A: (Allergic reaction, rash, diarrhea, anaphylaxis).
Q: What should patients be taught about morphine?
A: May cause drowsiness, don’t ambulate alone, risk for constipation.
Q: What pre-administration assessments are needed for pantoprazole?
A: Assess GI history, reflux/bleeding symptoms.
Q: What are the steps for a central line dressing change?
A: Hand hygiene → mask/sterile gloves → remove old dressing → inspect site → cleanse with (chlorhexidine) → apply sterile transparent dressing → label date/time.
Q: What should the RN do if phlebitis occurs?
A: Stop IV, remove catheter, apply warm compress, restart in new site.
Q: What should the RN teach the patient before IV push?
A: Purpose of medication, possible side effects (flushing, dizziness, metallic taste), report pain/burning, reassurance of close monitoring.
Q: What is the purpose of (Metoprolol tartrate 5 mg IV push over 2 min)?
A: (Beta-1 blocker) lowers HR, BP, and cardiac workload.
Q: What are side effects of morphine?
A: (Respiratory depression, hypotension, sedation, nausea/vomiting).
Q: What should patients be taught about pantoprazole?
A: Report black stools, avoid NSAIDs/alcohol, may need long-term therapy.
Q: What complications can occur with central lines?
A: (Infection/sepsis), (air embolism), (occlusion), (catheter migration/dislodgment).
Q: What should the RN do if (extravasation) occurs?
A: Stop infusion, aspirate drug, leave catheter in place, notify provider, administer antidote if available
Q: How do you calculate IV push rate?
A: Formula: Total volume (mL) ÷ time (min) = rate (mL/min). Example: 2 mL over 2 min = 1 mL/min.
Q: What pre-administration assessments are needed for metoprolol?
A: Check (apical HR, BP), hold if HR <60 bpm or SBP <90.
Q: What is the purpose of (Furosemide IV push over 1–2 min, max 20 mg/min)?
A: (Loop diuretic) → diuresis, reduces fluid overload, lowers BP.
Q: What are side effects of pantoprazole?
A: (Headache, diarrhea, abdominal pain, long-term: B12 deficiency).
Q: What is the proper flushing technique?
A: Use (10 mL normal saline) with push-pause method, flush before/after meds, use heparin if ordered.
Q: What should the RN do if the patient reports numbness/tingling?
Remove IV immediately (possible nerve injury).
Pantoprozole sodium 40 mg reconstitute for iv use
dilute with 10 mL .09% sodium chloride syringe
what is the final concentration?
40mg in 10mL syringe =
4mg/mL (push rate 1-2 minutes)
5 ml per 1 minute + 5mL per 1 minute = 10mL in 2 min
Q: What should patients be taught about metoprolol?
A: May cause dizziness, fatigue, change positions slowly.
Q: What pre-administration assessments are needed for furosemide
A: Check (electrolytes, especially K⁺), BP, I&O, weight.
Q: What equipment is needed for accessing/de-accessing a port?
A: Sterile gloves, mask, (Huber needle), saline flush, heparin flush (if ordered), CHG swab, transparent dressing.
morphine sulfate 2mg/1ml (IV push over 4-5 minutes) what is the push rate
0.25ml/min
0.25ml/min
0.25ml/min
0.25ml/min
=1ml in 4 minutes
In picc line vs cvc what treatments are more appropriate to be given through a central line than a peripheral IV?
because central lines access large, high-flow central veins and can be left in place for extended periods.
Long term antibiotics, chemotherapy, total parenteral nutrition (TPN), rapid fluid or blood product infusions, and administering highly irritating solutions like potent drugs or hyperosmolar solutions
metoprolol tartate 5mg/5ml (IV push over 2 min) what is the push rate
2.5 ml/ 1 minute
2.5 ml/1min
= 5ml in 2 minutes
what is the proper location of the central catheter tip? between what and what?
the superior vena cava and the right atrium
Order = ampicillin 250mg (iv push over 3-5 min)
dilute ampicillin 500 mg vial - with 5ml of sterile water =100mg/ml
2.5ml per dose
what is the push rate and the measurement
2.5ml over 3 minutes
0.8 ml /min
0.8ml/min
0.8ml/min
=2.5ml in 3 minutes
Furosemide 20mg (IV push in 1-2 minutes)
20mg/2ml
what is the push rate
1ml/min
+1ml/min
=2ml in 2 min