Site Complications
A painful red streak along a vein that often feels warm firm/hard when palpated.
What is phlebitis?
My favorite first semester nursing course.
What is SKILLS class!?! :)
This memeber of the health care team is responsible for prescribing the type and volume of solution to be administered.
Who is the advanced care provider/practitioner?
This intervention is most important when caring for a patient receiving IV therapy via gravity flow.
What is monitor the IV flow rate every hour?
After opening a package of IV tubing and before spiking an IV solution bag, the nurse must first do this.
What is close the roller clamp on the tubing?
The escape of IV solution into the subcutaneous tissue.
What is infiltration?
A patient reports a general feeling of discomfort (malaise) and states, "I don't feel well". The nurse assesses a temperature of 102F, chills, and a heart rate of 110 beats/minute.
What is sepsis?
This solution is used to replace intracellular fluid (ICF). Two examples are 0.33% NaCl (1/3 strength normal saline) and 0.45% NaCl (1/2 strength normal saline).
What is hypotonic?
The patient has an IV running via gravity in the left hand. Upon assessment, the nurse notes the IV has stopped dripping. The site is swollen, pale, cool and tender. The nurse will choose this intervention to do next.
What is discontinue the IV and restart the IV in the right hand or arm?
Prior to spiking a new primary IV solution bag, the nurse must inspection the bag of solution. These are the factors the nurse checks.
What is check the type, color and consistency, and expiration date of the fluid?
A blood clot obstructing the flow of the IV. Symptoms are similar to phlebitis: redness, local tenderness, warmth, possible swelling.
What is a thrombus?
Shortness of breath, dyspnea, increased blood pressure, and distended neck veins are signs and symptoms of this systemic complication.
What is fluid overload?
This member of the health care team is responsible for initiating, monitoring, and discontinuing IV therapy.
Who is the nurse?
While completing an hourly IV assessment, the nurse notes the IV is not dripping. The nurse should first do these actions.
What is assess the site, follow the tubing from the IV site to the IV bag checking for reasons for obstruction of flow, and check equipment (if applicable)?
IV fluids are administered for several reasons.
What is medication administration, fluid replacement, blood product administration, nutritional support, acid-base balance, etc.?
Erythema, edema, induration, and purulent drainage at the insertion site.
What is localized site infection?
Air in the circulatory system causing respiratory distress, increased heart rate, cyanosis, decreased blood pressure and a change in level of consciousness.
What is an air embolus?
The total osmolarity of this solution is closest to extracelluar fluid (ECF). Examples include 0.9% NaCl (normal saline) and Lactated Ringers.
What is isotonic?
When administering an IVPB medication via gravity, this is used to regulate the flow rate.
What is the primary tubing roller clamp?
While priming primary IV tubing, the drip chamber becomes completely filled. This is the appropriate nurse action.
What is invert the bag of solution while squeezing the drip chamber?
The escape of medication solution into the subcutaneous tissue.
What is extravasation?
Too rapid rate of infusion into the circulation resulting in symptoms of a pounding headache, fainting, rapid pulse rate, apprehension, chills, back pains and dyspnea.
What is speed shock?
Supplies fluid and calories to the body. Examples are 5% dextrose in Lactated Ringer's and 5% dextrose in 0.9% NaCl.
What is hypertonic?
The patient has an IV running at 200 mL/hour. As the nurse enters the patient room she notices the patient is laying flat and their neck veins are distended, blood pressure is elevated, and the patient is short of breath. What is the first action the nurse would take?
What is elevate the head of the bed (HOB) and slow IV rate?
A patient has an IV infusing and the nurse needs to administer an IVPB medication. This is the MOST important intervention the nurse must do prior to administering the IVPB medication.
What is determine compatibility?