How do you control drip rate on IV tubing?
use the roller-clamp on tubing
True or False
You can allow your patient to control the IV flow rate if they are a RN
False
You are opening a new IV tubing package and are getting ready to spike your bag, what should you do with your tubing before spiking the bag?
ensure the rollerclamp is closed
Is this answer correct? If not what is the right answer?
200mL for 6hrs at 15 gtts/mL = 8 gtts/mL
No, 8 gtts/min
A patient has just had an intravenous (IV) line placed in their arm. As part of the teaching, you instruct the patient to avoid bending the arm where the IV is placed. What is the primary reason for this advice?
To avoid obstructing the flow of fluids through the IV line
A nurse is training a nursing student who is getting ready to start a IV infusion. The student grabs the necessary supplies, does their checks and med rights. While doing so the nurse is charting on the computer in room, the student proceeds to clean and assess the site, checking IV patency, closing the rollerclamp and spiking the bag. Hooking it up to the patient and filling the drip chamber. Before starting the infusion, the nurse intervenes. What step is missing in the student's process that requires further education?
Prime the line before hooking it up to the patient
A patient is receiving an IV infusion of normal saline at a prescribed rate of 100 mL/hour. The IV tubing has a drop factor of 15 gtt/mL. What is the drip rate?
25 gtt/min
During lab, an instructor is teaching a student on IV infusions. The student is instructed to get a IV drip rate at 30 drops per minute. Which of the following statements by the student indicates a need for further teaching?
A) "If the drip is too fast, I should adjust the roller clamp to slow it down."
B) "I should count the number of drops in 15 seconds and multiply by 4 to check the rate."
C) "If the drip rate slows down, I should open the clamp fully to speed it back up quickly."
"If the drip rate slows down, I should open the clamp fully to speed it back up quickly."
You have entered the patients room, performing your checks and performing your 7 patient rights. You have setup your bag, primed the line, and hook it up to the patient.
What should have been done before attaching and starting the infusion?
Check to make sure IV is patent.
Assess the area around the IV site
500 mL of LR is to be administered over one hour. The IV tubing has a drop factor of 10.
83 gtts/min
What are some IV complication symptoms that you want to educate your patient on?
Redness, Swelling, Tenderness
While priming your tubing, you should do what as you go?
Pause at the Y-sites to invert and remove any air
50 mL of normal saline to be administered over 30 minutes. The IV tubing has a drop factor of 10.
17 gtts/min
Important teaching factors for your patient that relate to IV flow?
how to protect IV site, factors that influence flow rate, and importance of not altering rate control
What are the 7 patient rights?
Right Dose Right Medication
Right Route Right Documentation
Right Time
Right Indication
Right Patient