It's so complicated
Fluid stopped dripping into IV
What is an occlusion
Preferred extremity site for IV
What is non-dominant hand
Close proximity to nerves, tendons, and arteries, IV's in this site should be 4-5 cm above flexion
What is the wrist
Patient has a history of a mastectomy on the right side. The arm to use for her lab work is
What is her left arm
An LVN can be the 2nd nurse witness and can monitor patient after initial 15 minutes of this infusion.
What is blood transfusion?
Reddened warm area at insertion site and/or along path of vein
What is phlebitis
Apply flat, tucking the top tail under the bottom tail, can sometimes use a BP cuff
What is a Tourniquet
Start with these veins and work up
What are distal veins
Fill the tubes in the correct sequence to avoid accidental mixture of substrates to your specimen.
What is order of draw
An assessment of a specific targeted system
What is a focused assessment
stretched taut skin, necrosis, blistering, peeling skin after a vesicant infusion
What is extravasation
The best site for IV placement for most patients
What is the forearm
How a vein should feel when palpated if patient is not dehydrated
What is soft and bouncy
Maximum chances of blood draw on a patient per policy
What is 2 times or twice
Per the BON, LVN's must complete what prior to IV insertion and phlebotomy?
What is an IV and phlebotomy course or validated training
pain, swelling at insertion site, taut stretched skin, cool to touch, redness after a non-vesicant infusion
What is infiltration
I'm a good site unless patient is getting vesicant medications or getting out of bed frequently
What is the hand
Applying this to the site causes veins to vasodilate
What is apply warm compress
Angle to use to insert the needle for phlebotomy
What is 15 - 30 degrees
The ability for an LVN to administer specific IV fluids, medications, or IV push medications is determined by this.
What is system policy & procedure?
Decreased O2 saturation, shortness of breath, crackles after IV fluid bolus
What is Fluid Volume Overload
Side with history of mastectomy, dialysis access, or affected by a stroke
What are sites to avoid for IV site selection?
Tourniquet time should not exceed this
What is one minute
Shaking the tubes can cause the cells to rupture. Ruptured cells are called:
What is hemolysis?
An LVN cannot complete this assessment for a new patient
What is an admission assessment