IV Solutions
The movement of water from low to high concentration through a semipermeable membrane
What is Osmosis
When blood is noted in the hub of the catheter upon inserting an IV
What is "flashback"
Clotting promoted from the availability of
What is random platelets
The type of dressing utilized when an IV is placed and is changed every ____ hours
What is a clear dressing or Tegaderm and 72 hours (or hospital policy)
The course of blood flow (5 veins) can be remembered by the phrase _____ to _______
What is HAND to HEART
**Metacarpal vein, Cephalic vein, Axillary vein, Subclavian, and superior vena cava
A solution that moves solute from the intracellular to intravascular space
What is Hypertonic
The name of the catheter when the needle is removed but the catheter remains
What is an over the needle cannula (ONC)
This part of the blood restores oxygen carrying capacity of the blood, needed commonly for anemic patients
What are PRBCs (packed reb blood cells)
Most common veins used for IV sites (list 2)
What are the cephalic and basilic veins (of both the hand and forearm)
You are given an order to run heparin on a patient, you will always complete the 7 rights of drug administration and check their name, DOB against the ID bracelet. Once you connect the tubing to the bag you will (next two steps)
What is prime the tubing and connect to the SL (saline lock)
A Hypotonic solution goes from the _______ to ______ space
What is Intravascular to Intracellular
The stainless steel, short, sharp tipped needle remains inside the patient's vein with this specific needle type
What is a butterfly/wing tipped
Indication of whole blood use
What is a massive blood loss or major trauma
The dorsum of the hand (including digital veins and metacarpal veins) should be avoided in this patient population
Who are the elderly
The layers of the arteries/veins from inner to outermost.
What is tunica intima, tunica media, and tunica externa
Solution with the same concentration to blood plasma. Examples include D5W & LR
What is an isotonic solution
A rule when inserting an IV that if we meet resistance
What is "Do not advance if resistance is met"
The only solution given with blood & blood products
What is NSS (normal saline solution) (0.9%)
A PICC (peripherally inserted central catheter) line ends internally in the superior vena cava and is accessed externally in the upper extremity and is confirmed by
What is a CXR
Three important considerations when giving TPN
What is a daily weight, I&O and BSG monitoring
An example of a hypotonic solution <0.9%
What is Sodium Chloride (0.45%), *also referred to as 1/2 strength normal saline
*This solution could cause a cell to swell and burst
An underlying condition (or associated "connection") that affects site selection for IV therapy
What is a dialysis fistula
Two s/s associate with febrile transfusion reactions
Two s/s associated with allergic reactions
Two s/s associated with possible transfusion reactions
What are chills and a fever, hives and wheezing, and back pain and flushed face
The best veins/area for a blood draw include (looking for 2)
What is the median cubital (AKA antecubital) and the arm opposite of an IV site
Hypertonic solutions consisting of dextrose, amino acids, fatty acids, water, electrolytes, vitamins, & minerals
What is TPN (total parenteral nutrition)