IV catheter D/C
A nurse is removing a client’s IV catheter. Which of the following actions should the nurse take?
Pull the catheter straight back form the insertion site
Q: A nurse assesses a client's IV insertion site and finds that it is red, warm, and slightly edematous.
This are signs of what complication and what actions should be taken?
Phlebitis
Discontinue the IV line and apply a warm compress
Q:
A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. Which of the following actions should the nurse perform next?
Advance the catheter into the vein with the finger hub
Which of the following actions should a nurse take when converting an IV infusion to a saline lock?
Flush the IV catheter to confirm patency
If I started a 1L bag of IV fluids at noon at a rate of 100 ml/hour, what time will I need to be ready to hang a new bag?
2200 (10 hours)
Q: A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the catheter
for which of the following?
An intact catheter tip
Bonus- Why?
Q: A nurse has just initiated an IV infusion and is
teaching the client about possible complications. The
nurse should include that which of the following findings is an indication of early infiltration?
Coolness
Q:
A nurse has just inserted a peripheral IV catheter. Which of the following actions should the nurse take to secure the catheter?
Apply an IV securement device
Q:
A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. How often should the nurse plan to replace the primary infusion tubing?
Every 96 hours
What is the maximum time each of these substances can hang?
lipid only infusion
Blood and blood products
lipid containing infusion
Lipid only-12 hours
Lipid containing 24 hours
Blood and Blood products 4 hours
When discontinuing the IV site, what should be done to prevent infection?
Apply a dry sterile dressing to the venipuncture site.
An IV site that is pale, cool, tender, edematous are s/s of what complication?
Infiltration
What two factors do I consider when determining which IV catheter gauge to use?
Type of fluid ordered and expected length of IV therapy
How long can a peripheral IV catheter remain in place for?
72-96 hours
Why should I back prime tubing instead of just priming it like primary tubing?
Prevents waste or loss of medication.
To control bleeding when discontinuing IV catheter, what should be done immediately after removal?
Apply pressure.
You have a client receiving IV fluids. What signs and symptoms indicate possible fluid overload?
Abnormal breath sounds and difficulty breathing
How do I prepare the insertion site to prevent infection prior to starting an IV?
Cleanse the site with an antiseptic prep by cleaning in circular motions from the inside to the outside.
What type of dressing should be used to cover an IV catheter?
Transparent
Bonus- Why?
Why does the antecubital area make for poor IV access?
Damage to vein limits potential IV access sites beneath it, limits access for lab draws, limits ROM and increases risk for occlusion and kinks.
If bleeding from a venipuncture site persists after catheter discontinuation, in addition to holding pressure what other intervention could I use to help?
Elevate site above heart.
What are the degrees of Phlebitis?
0-no symptoms
1-access site erythema and possible pain
2-pain with erythema or edema
3- grade 2 symptoms plus palpable venous cord >1in., red streaking along vein
4-grade 3 symptoms +purulent drainage
To minimize the risk of poking myself while inserting an IV, where do I anchor the vein? Below, above, or to the side of the planned access site?
Below- out of the path of the needle.
For fluids to flow out of a glass bottle, what must be opened on the IV tubing?
Ventilation port on chamber
What techniques can be done to decrease peripheral vessel depletion and decrease the discomfort of clients?
A nurse-led ultrasound enhanced vascular access preservation program.