How many attempts by a nurse?
2
Roles/Purpose of iv therapy
- restore, replace fluid requirements
- Lytes balance
- Meds
- Blood transfusions
- Nutrition (TPN)
- in case of emergency
What is the normal serum osmolarity?
240-320
(just FYI: >300 dehydration; <280 fluid overload
What are infiltration symptoms?
-swelling
-Cool
-Blanched
-Pain
to site
Ways to prevent infection?
- hand washing
- cleaning area with soap/water if obviously contaminated
- wear gloves
- maintain sterility of IV equipment
- tegaderm over puncture site
- Use correct alcohol swabs and for correct time
What is a complication of a hypertonic solution?
-Phlebitis
How many nerves are in the wrist?
3
3 examples of preventing IV loss
- Hourly checks
- ensure IV is secure
- health teaching patient for pain/swelling
- not properly preparing equipment so the blood clots before the tubing is connected
- releasing unsupported tubing during anchoring, so the needle pulls out.
A vein should feel?
round
firm
elastic
full
Know Flow Rate Calc
100ml x 10gtt = __ gtt/min
——— ——-
60min 1ml
Where is an IO (intraosseous) catheter placed into?
Marrow
Give an example of each 3 solutions and why you would use it?
Isotonic: N/S, used for hypotension/hypovolemia
Hypertonic: D5W/NS, used post op to reduce edema
Hypotonic: 0.45%NS, used for DKA pt.
What is the position for an air embolism?
Left lateral, head down
Why don’t we use the inner wrist?
3 big nerves=nerve damage
When do we change these?
- IV Site
- Solution bag
- Primary Intermittent
- Extension tube
- IV Site: 96 hrs
- Solution bag: 24 hrs
- Primary Int.: 24 hrs
- Extension tube: 96 hrs
What are advantages of IV med admin (4)?
- More accurate doses
- immediate action of drug
- direct access to circulatory system
- good for people who can’t tolerate oral meds
- instant drug admin termination
- easier to admin irritant drugs
When does thirst occur?
water loss = 2% of body weight
Most common 2 gauge needles & corresponding colour & when to use
Blue-22 Gauge-small fragile veins
Pink-20 Gauge- normally used
