IV Therapy Final Study Guide

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What picture shows premixed IV solutions/IV piggybacks?
What picture is pointing to the spike?
What picture is pointing to the drip chamber?
What picture shows the primary infusion administration set?
Where are the cephalic, basillic, and metacarpal veins located?
Refer to the diagram and know the locations for the test
What picture shows the extension set?
What are the signs and symptoms of a hematoma?
localized mass of blood in the tissue that creates a hard, painful lump
What are the signs and symptoms of infiltration?
swelling, skin is cool to the touch, and alteration in flow rate
The drip chamber of the administration set should be filled with fluid to what capacity?
1/3 - 1/2 full
What is the appropriate height for suspending the fluid container from the IV pole in relationship to the IV site?
3 feet
What are the characteristics of a vein that is appropriate for venipuncture?
feels soft and spongy when palpated
What is the goal of injecting a flush solution into the intermittent infusion device?
to maintain patency
An IV therapy certified LPN is restricted from performing what intravenous therapy activities?
adding vitamins to total parenteral nutrition in the home care setting
What is the most commonly used concentration of heparin flush solution for peripheral infusion devices?
10 units/mL
What is the drop factor for macrodrip tubing?
10, 15, and 20 gtts/mL
Intermittent drug infusions (IVBP) are generally administered over what time frame?
30 - 60 minutes
What is the volume of fluid that is commonly used for IVPB drug administration?
50- 100 mL
According to Missouri Rule 4 CSR 200-6.010, an IV therapy certified LPN may perform what activity in regard to cytotoxic drugs?
only closely monitor chemotherapy patients for evidence of side effects or toxicities

LPNs can not administered cytotoxic drugs
What are the most frequently administered isotonic fluids?
1. Dextrose 5% in water
2. Lactated ringers
3. Normal saline
What activities can the LPN perform in blood transfusion therapy?
1. Obtaining unit from the blood bank
2. Crosschecking identifying data prior to initiation
3. Monitoring the patient during the transfusion
What type of IV tubing would you select for a pediatric patient or frail elderly client?
microdrip
The IV therapy rule in Missouri is governed and enacted by whom?
Missouri State Board of Nursing
Before initiating an IVPB infusion, it is necessary to confirm what information?
identification of the patient and patency of the IV site
How is vein dilation achieved?
applying a tourniquet
As an IV certified LPN, are you allowed to set up and prime tubing for a peripheral IV?
Yes
As an IV certified LPN, are you allowed to monitor blood and report any adverse reactions?
Yes
As an IV certified LPN, are you allowed to add medications to a primary solution bag of fluids?
No
As an IV certified LPN, are you allowed to document peripheral IV procedure insertion and findings?
Yes
As an IV certified LPN, are you allowed to act without an order from a healthcare professional licensed to prescribe medications?
No
As an IV certified LPN, are you allowed to administer emergency IV medications in the event of a life threatening emergency to improve respirations or heart beat with a IV push or IV bolus?
Yes
How do veins differ in structure from arteries?
they contain no valves
How is the prevention of blood reflux in the extremities achieved?
action of one-way valves
What is a characteristic of inflammation?
presence of erythema
What are the regulatory organs in acid-base balance?
lungs and kidneys
What is a thrombus?
a stationary blot clot
What is an embolus?
a free-floating blood clot
Venous blood returns to which part of the heart?
the right atrium
What does the blood contain that is pumped out of the left ventricle?
a full supply of oxygen
What drop factor does microdrip tubing deliver?
60 gtt/mL
What type of solution is more concentrated with dissolved particles that plasma. The purpose is to draw fluid into the intravascular compartment from interstitial tissues and cells. Examples are D10W, 3% saline, D20W, TPN, and D5NS.
hypertonic
True or False:
As an IV certified LPN, in accordance with the MO State Regulations, you are allowed to add medications to a primary IV solution bag of fluids.
False
Which picture is a tourniquet?
??
What is this type of equipment known as? The brand name is sometimes called "Dial-A-Flow" and is an add on piece of equipment that can be attached to the IV line in order to regulate the IV rate in place of an electric pump.
rate flow controller
What picture shows the leur-lock IV injection port?
IV therapy activities that can be delegated to an IV therapy certified LPN include what?
initiating peripheral IV access, converting a peripheral IV venous access device to a "locked" venous access device, and monitoring blood transfusions
Engorged neck veins (JVD), hypertension, severe dyspnea, and moist crackles (rales) are indicators of what?
circulatory overload
True or False:
IV certified LPNs may administer IV therapy to a neonate.
False
True or False:
IV certified LPNs may administer and infuse antineoplastic (chemotherapy) agents.
False
True or False:
IV certified LPNs may document peripheral IV insertion procedure and any assessment findings or data.
True
True or False:
IV certified LPNs may maintain and discontinue a peripheral IV.
True
Fever, chills, N/V, malaise, vascular collapse, and shock are all signs and symptoms of what condition?
septicemia
Why should the nurse closely monitor older adults when they are receiving IV therapy?
because they are prone to fluid overload
As an IV certified LPN, you have received an order to start an IV on a client who is going to receive blood products. What gauge needle would you utilize?
16, 18, or 20 gauge

Remember....the smaller the number is, the larger the needle gauge is
According to best practice regarding infection control, you are aware that an IV bag when hung needs to be exchanged/replaced within how many hours?
24 hours
True or False:
The veins that may be utilized in peripheral intravenous infusion therapy include the veins of the feet, scalp, hands, and forearms.
True
What are the signs and symptoms of extravasation?
pain/burning at the IV site, swelling, formation of blisters and necroctic tissue
What are the signs and symptoms of phlebitis?
tenderness, redness at the insertion site that travels up the path of the vein, skin is warm to the touch
What are the signs and symptoms of cellulitis?
inflammation/infection of cellular or connective tissue that causes redness, swelling, skin is warm to the touch, and weeping of tissue
What is the purpose of TPN?
provides complete nutritional and caloric needs of the patient
When utilizing an arm board, how often should the nurse perform neurologic checks?
every 2 hours
When inserting an ONC device, what are the precautions to observe?
avoid re-advancing the needle into the cannula once threading has begun
What is the only solution that is compatible with blood products?
normal saline (NS)
What is a crystalloid IV solution?
water and uniformly dissolved crystals such as salt or sugar
What is a colloid IV solution?
water and molecules undissolved (suspended) substances such as blood cells and blood products
What equipment should be collected for IV insertion?
IV fluids
Tubing
Antiseptic for cleansing the skin
Tape
IV site dressing
Tourniquet
Angiocaths
Gloves
Pump/IV pole
How often should peripheral IV sites be rotated?
72 - 96 hours
How often should the nurse assess a patient's IV site?
every 4 hours
How long should the nurse hold pressure after discontinuing an IV?
3-5 minutes
What is the SASH method for flushing and IV?
Saline
Administer medication
Saline
Heparin
What is the common concentration heparin solution for central lines?
100 units/mL
How many seconds should the nurse take to administer an IV flush?
60 seconds
What type of fluid contains sodium and chloride in amounts equivalent to plasma and is used to replace electrolytes and maintain fluid balance. Examples are NS, D5W, and LR.
isotonic
What type of fluid is less concentrated than plasma and causes fluid to be drawn into cells and interstitial spaces. It is used to rehydrate patients with a fluid deficit such vomiting and diarrhea and examples are 0.45% sodium chloride and D5 1/2 NS
hypotonic