What needs to be released (popped) before attaching the saline
syringe and flushing the IV catheter? – ANSWER- needle and
tourniquet
Another name for a saline lock? – ANSWER- intermittent
infusion device
What is the normal solution for flushing? – ANSWER- Normal
saline
What type of flush may the physician prescribe in certain
circumstances? – ANSWER- Heparin flush
What type of dressing should be applied after flushing? –
ANSWER- TSM
transparent membrane dressing
__ let go of the hub of the catheter until it is secured with
the TSM? – ANSWER- Never
After the hub is secured with TSM apply tape over the skill and
label with what? – ANSWER- initials, date, time
How many times can a nurse attempt an IV? – ANSWER- twice
What should happen after two nurses stick twice each? –
ANSWER- The HCP should be notified and recommend
ordering a PICC or other CVAD.
When D/C-ing an IV when should you apply pressure? –
ANSWER- You should not apply pressure until the IV catheter
has been removed and then hold pressure until bleeding stops
fluid volume excess – ANSWER- hypervolemia
S/S: Elevated BP, HR, and WT. Edema, JVD, SOB, crackles,
low 02 sat, change in LOC, low urine output, weight gain,
Tx: diuretics, restict PO fluids, daily wt, I&O, treat cause,
elevate HOB, slow IV infusion to KVO rate or stop IV fluid
Vancomycin – ANSWER- Vancocin
Antibiotic for Cdiff/MRSA (PO for cdiff)
Vesicant
ototoxic (can be permanent), nephrotoxic (urine output, BUN,
Creatinine), Red Man Syndrome (given too quickly)
isotonic solutions – ANSWER- NS, LR, D5W, D5/ 1/4 NS,
Albumin 5%
Hypotonic solutions – ANSWER- 1/4 NS
1/2 NS
1/3 NS
D2.5W
What does a hypotonic solution do to blood pressure? –
ANSWER- lowers it
Who should you never give a hypotonic solution to? –
ANSWER- an IICP pt
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