IV Therapy and Related Care
Card Set Information
IV Therapy and Related Care
N170 Saddleback College
IV Therapy Exam 3
localized accumulation of fluid in the tissues causing edema, pain, and coolness at the site.
Intervention for Infiltration
D/C IV, elevate extremity and put warm or cold compress on it.
How do you prevent infiltration
access site frequently
change IV site every 72 hours
too much fluid administered in a short period of time.
Either by too high of an infusion rate or person has renal problems or CHF
Signs of fluid overload:
CRACKLES in the lungs
weight gain....1 kg (2.2 lbs) equals = 1 litre of fluid
Intervention for fluid overload:
Slow rate of infusion
d/c but dont take out IV
elevate head of bed to HIGH FOWLERS
MONITOR VS q15-30 till stable
prepare for Laxis check (K levels)
Air infusing in to an IV
Intervention when a pt has an air embolism:
Clamp the tubing
Turn pt on to left side
Place in Trendelenbert so air rises to feet (not brain)
How do you prevent an air embolism?
Tight line connection
Prime tubing of air
Put patient in Trendelenbert when changing a central line or changing dressing
Infusing of medication in to the soft tissues
Interventions for extravasation
Disconnect IV tubing
Try to asperate drug
Call Dr.....get antidote if necessary
Most important thing to remember to prevent extravasation:
Who's at risk? Cuz have small or weak vessels.
Local vs. Systemic
Local-inflammation, exudate and hot at site
Systemic-tachycardia, tachypnea, malaise, chills and WBC increase
How do you prevent infections?
Use aseptic technique
Change site of IV every 72 hours
Check immunity of pt. Impaired?
Interventions of infected IV site:
Culture & Sensitivity (Dr)
Get right antibiotic (Dr)
inflammation of a vein with an IV in it
What causes phlebitis?
Solution being infused is either acidic, alkalitic or has a high osmolality
What does phlebitis look like?
Red and painful
Intervention for phlebitis:
Apply warm pack
Prop arm up
Put new IV in opposite arm
Get a larger vein this time
Warm and swollen
Interventions for Thrombophlebitis
Get order for NSAIDS, blood thinner, maybe antibiotic
Complications of Thrombophlebitis
DVT or cellulitis
How do you prevent thrombophlebitis?
Rotate IV site....especially at the first sign of infection.
Provides sugar to patients.
What's good about D5W? Bad?
If diabetic it can cause hyperglycemia.
It cant be combined with many other solutions.
It is most like our bodies and easily combined with other IV's. Can be used with Dextrose.
What's the IV solution that can be used with blood products?
Given to pt. in acid/base imbalance by providing electrolytes and treats dehydration.
What does the Lactated Ringer label look like?
What do you assess with an IV?
Is it clean and dry?
When looking at an IV what do I match with the Doctors orders?
Process for removing an IV:
ID pt. and check orders for reason to remove
Assess site for complications
TURN OFF PUMP or CLAMP TUBING
Use alcohol pads to loosen adhesive tape
Use 2 x 2 to hold in place and pull it out.