Alexis Stevenson IV Therapy Chapter 8 Review Questions 1. A. patients name B. IV solution ordered to be administered C.

Medication ordered to be added to the solution D. Amount of solution to be infused E. Time of infusion F. Any other special instructions 2. Signs to assess include; fever, perspiration, dry, warm skin, cracked lips, thirst, elasticity in skin, absence of moisture in axillae and/or concentrated, dark urine. 3. To prevent air bubbles from entering the blood stream, air must be purged from the administration set tubing and any other tubing that may be attached to the set. 4. Drip chambers available include macro drip sets and micro drip sets. Macro drip chambers allow for the administration of 8 to 20 gtts per mL and micro drip sets allow for the administration of 50 to 60 gtts per mL. 5. Major factors to consider when selecting a vein to be used for an IV infusion: A. A vein that is suitable size for the venipuncture device to be used B. The type of fluid to be infused (the viscosity) C. Patient comfort and mobility D. Location, condition, and the straightness of the vein E. Most distal acceptable site should be selected F. Avoid veins over sharp bony areas or joints or veins in areas of recent trauma from injury or surgical procedures 6. Methods for compression above the site: A. Have patient clench his/her fist by opening and closing the fist to help pump blood into the vessels B. Massage the area in the direction of the blood flow C. Applying a sphygmomanometer cuff on the limb above the intended site D. Inflating the pressure on a cuff just below systolic pressure E. Lightly and gently tapping the vein F. Allow the limb to hang below the body G. Use a tourniquet or other means of constricting the vein above the intended site H. Apply moist heat to the area 7. Hold the venipuncture device in the dominant hand and hold the skin taut and stabilizing the vein with the other hand. Hold the needle bevel up at a 45degree angle. Inform the patient of the sharp stick that is about to happen. Puncture the vein entering at a 20 to 30degree angle. Insert stylet until flash of blood is present, at which time you

would advance the stylet and applying the safety on the syringe and dispose of in the sharps bin. Stabilize the needle and release the tourniquet. 8. Venipuncture should be observed several times within the first 30 minutes and at least every hour. The observation should include any infiltration, leakage, bleeding, or potential infection. If the patient has any complaints about anything having to do with the site, it should be investigated immediately. Observe the possibility of redness and warmth should be taken care of very efficiently. When infiltration is suspected, the IV should be discontinued immediately. 9. IV piggyback, bolus, and heparin and saline lock for IV injections. 10. The tubing is clamped and tape removed. Then clinician dons gloves and gauze pad is held in the non-dominant hand to apply gentle pressure once stylet is removed. Needle or catheter is gripped by the non-dominant hand and it is slowly withdrawn following the pathway of the vein. Pressure is help on the site until any bleeding ceases. Patient assessed for how well procedure was tolerated. Documentation of the discontinuation of the IV infusion. All materials are discarded according to OSHA guidelines. Patient is assisted to area of dismissal if appropriate.