-
What are the Hgb and Hct levels that are now recommended for blood transfusions?
-
What is the potassium infusion limits?
10 mEq in 100 mL over 1 hour
-
Name some indications for IV Therapy?
- inability to eat and admin tube feedings
- dehydration
- electrolyte imbalance
- long-term med therapy
- emergency med admin
- blood admin
-
How long do we leave in short peripheral catheters?
- 96 hours (mostly in San Diego)
- 72-96 hours - then remove and new insertion site
-
What is the desired gauge catheter for Med/Surg?
- 20 gauge
- 20-24 is acceptable - depending on the pt
-
How many sticks are done before getting someone else to insert IV?
2
-
how many seconds do we scrub the skin with chlorhexidine solution?
30 seconds, then allow to dry for 30 seconds
-
How many seconds to we scrub the hub before injecting into IV?
- 15 seconds
- done before saline, before med, before saline (EVERY TIME)
-
How often do we assess peripheral IV site?
- Every shift
- Q2 hours if running IVF
-
How often must we change IV fluid bags?
- prior to running dry
- every 24 hours whether empty or not
-
How often must we change IV tubing (primary & secondary)?
every 96 hours
-
How often must we change blood tubing?
within 4 hours
-
Leakage of a non-vesicant solution into tissue?
infiltration
-
Leakage of a vesicant solution into tissue?
extravasation
-
What do you do if the IV site infiltrates or extravasates, or you suspect phlebitis?
- Stop infusion immediately
- Remove IV (may send to lab for culture - if phlebitis)
- Inform provider - may call pharmacy for antidote drug (if exists)
- start new IV
-
Name the phlebitis scale grades:
- 0 - No symptoms
- 1 - Erythema at access site with or without pain
- 2 - Pain at access site with erythema or edema
- 3 - Pain at access site with erythema or edema streak formation, palpable venous cord
- 4 - pain at access site with erythema and/or edema, streak formation, palpable venous cord >1" in length, purulent drainage
-
What are S/S of speed shock?
- dizziness
- irregular pulse
- flushing
-
What is speed shock and how can we avoid it?
- Pushing or infusing IV med too quickly
- Check to see how fast med should be administered
- Check to see if med should be diluted
-
How do we prime IVPB (IV piggy back) tubing?
- back primed
- lower bag below primary and open tubing
-
what should we do prior to adding a secondary med to primary infusion?
- Check compatibility of secondary to primary
- research administration rate
-
What is the first thing to do when opening a package of tubing?
CLOSE clamp
-
During admin of IV cath, a pt reports the feeling of "pins and needles" in arm. This sensation may be caused by?
Nerve puncture may have occurred
|
|
