Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
34 Cards in this Set
- Front
- Back
Intravenous Nursing Society standards of practice recommend that primary continous adminstration sets be changed
|
according to established policy, every 96 hours, whenever compromised
|
|
The first step in heparin flush of a prn devise is to ?
|
check patency
|
|
Peripheral IV dressings should be changed ?
|
at time of site change, according to institution policy, whenever compromised
|
|
the symptoms of venous vasospasm are?
|
sharp pain extends from IV site
|
|
local complications associated with IV therapy include
|
phlebitis venous spasm hematoma
|
|
fluctuating fever profuse sweating and nausea and blood presure is lower thatn normal you should suspect?
|
septicemia
|
|
the nurse can avoid a thrombosis formation by
|
not injuring vein wall, no multiple punctures, and no through and through punctures
|
|
the organism responsible for most cases of septicemia related to infusion is?
|
staff
|
|
know the stages of phlebitis
|
+ 2 pain, edema, redness
|
|
The higher the risk for phlebitis is among patients are
|
multiple IV lines, pt. on TPN, aumune suppressed, new borns and elderly
|
|
80% of the patients receiving IV therapy develop the following complications
|
phlebitis
|
|
The formation or presence of a clot and the stop of circulation in the vein by the clot is refferred to as?
|
thrombosis
|
|
localized mass of blood outside of the blood vessel is?
|
hematoma
|
|
list two ways a catheter tip ma acquire bacteria
|
1. poor skin prep 2. you touch it 3. contaminated solution
|
|
the infusion slows on your patient what is the first step in checking on or managing the situation?
|
check for kinks in tubing, then check site for kinked catheter
|
|
list two prevention techniques for avoiding phlebitis
|
good skin prep, aeseptic tech, dilute meds properly,hand wahing, using correct catheter size
|
|
Give 2 nursing tips to decrease the risk of menatoma formation
|
apply pressure, smaller needle, cool compress, don't use tourniquet on older pt.
|
|
list 2 causes to thrombosis formation
|
to slow iv, blood backing up in IV line, IV line running dry , trauma to vein wall
|
|
use of hypertonic solutions increase the risk of phlebitis
|
true
|
|
The phlebitis criteria according to te INS has 4 stages
|
TRUE
|
|
To prevent local complications it is necessary to use a good aseptic technique when starting or maintaining an infusion
|
TRUE
|
|
What is the treatment for a hematoma?
|
pressure at site elevate extremity cool compress
|
|
list 3 signs and symptoms of infiltration
|
swelling coolness pain, possibly no blood return
|
|
list the treatment for infiltration
|
discontinue, compress, cool or warm compress (whats appropriate) elevate
|
|
list 5 signs and symptoms of fluid overload
|
weight gain, rales /crackles SOB, edema, puffy eyes
|
|
Notify the Dr. if you suspect fluid overload you should also (5 steps)
|
slow IV, elevate head of bed, keep warm, check vitals, give oxygen as ordered
|
|
a fast rate is considered more dangerous than a rate that is too slow
|
TRUE
|
|
use smaller veins for hypertonic solutions
|
FALSE
|
|
a .22 micron filter will remove air, bacteria, and harmful particles
|
TRUE
|
|
ecchymosis
|
the escape of blood into tissues from ruptured blood vessels
|
|
extravasation
|
infiltration of medications into tissue
|
|
speed shock
|
a rapid introduction of medication into the body
|
|
thrombosis
|
formation of blood clot within blood vessel
|
|
venous spasm
|
painful narrowing of veins
|