IV Administration
the secondary or "piggy back" is hung where in relation to the primary IV bag?
Higher
Scrub the hub for how long?
15 seconds
what is caused by irritation of the vein by the needle catheter, medication, or iv fluid
Phlebitis
The nurse know that a new IV can not be started where in relation to previous IV site?
Distal
The patient must sign a consent to receive blood when?
no more than 48- 72 hours before transfusion
Y type administration set is used to infuse what?
Blood products
Blood products are never infused with what?
Medications or other fluids. Only 0.9% NS infused with Y administration set.
What type of blood product can be used to avoid concerns about receiving another person's blood donation?
Autologous Blood Transfusion
The nurse has tried to initiate IV start two times but has not been successful what should the nurse do next?
Ask another nurse to try
before discontinuing IV the nurse should check what?
Doctors order
If the secondary bag is hung correctly what will the primary do upon completion of the secondary bag infusion?
Signs of fluid overload to observe the patient receiving IV fluids for?
Sudden weight gain, crackles in lungs, peripheral edema
S/s of infiltration?
Arm swollen, tender, cool to touch
How does the nurse stabilize the vein to initiate the IV start?
Hold the skin taught 2in above and below the site
When IV catheter has been removed the nurse should inspect what?
the tip of the catheter to ensure its still in place
How are intermittent access devices kept patent?
Saline flush per policy
Potassium is never given how?
bolus
If air embolism occurs what should the nurse do
Place patient on left side, lower head of bed, notify doctor
A new bag of fluid should be placed when the bag infusing has how much fluid left
50mL
S/S of blood transfusion reaction?
Hives, Itching, flushing, chills, back pain, apprehension, fever
Why are controlled volume sets like a burette used?
to decrease chance of fluid overload
Blood pressures should be taken on what arm if the patient has a PICC or Midline?
Arm that does not have a PICC or ML
The prudent nurse monitors the IV site of a patient how often?
every hour or at least every 1-2 hrs.
Before giving an IV push of medication the nurse should do what?
Make sure the IV fluid and medication are compatible
If patient is having a transfusion reaction what should the nurse do?
Stop transfusion immediately and start NS, the notify doctor.