Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
prairie nurs102/u4Lb
iv comp.
| Question | Answer |
|---|---|
| Hematoma | Raised, discolored area caused by leakage of blood at venepuncture site |
| Hematoma | Tenderness at venepuncture site, area around site appears bruised |
| Hematoma | Vein "blown" or puncutered through wall, leakage of blood from needle displacement |
| Hematoma | Remove IV, apply pressure, warm soaks, document |
| Hematoma | Do not advance needle beyond resistance, choose appropriate sized device-catherter |
| Infiltration | leakage of IV fluids into the surrounding tissue |
| Infiltration | Blanched skin, swelling, decreased skin temp around site, slow flow? |
| Infiltration | Needle dislodged from vein or vein perforated |
| Infiltration | Remove IV device, warm soaks, elevate extremity, restart IV, document |
| Infiltration | Check IV site frequently, patinet teaching |
| Phlebitis | inflammation of the vein |
| Phlebitis | Area along vein,red, tender and warm; vein "hard" and cordlike when palpated, decreased flow rate |
| Phlebitis | Hypertonic solutions, repeated use of same vein, movement of device in vein, device too large, clotting at tip of catheter |
| Phlebitis | Remove IV, warm soaks, notify MD, restart IV, document |
| Phlebitis | Central line for irritating solutions, small IV device, rotate site per policy, stabilize device to limit movement, verify compatibilities |
| Site infection | local contamination of insertion site Redness, warmth, tenderness and swelling at site, possible exudates of purulent material |
| Site infection | Faulirue to maintain aseptic technique during insertion or site care. Duration of IV beyond recommended time, Immuno-supression |
| Site infection | Remove IV, warm soaks, notify MD, restart IV, document |
| Site infection | Maintain asepsis, change site per policy |
| Clotting | blockage at end of device in patients vein |
| Clotting | Unable to flush IV easily, tenderness at site, sluggish flow rate |
| Clotting | IV rate to slow, heparin lock not heparinized, IV bag allowed to run dry |
| Clotting | Remove & Restart IV, warm compresses, document |
| Clotting | maintain constant flow as ordered, use residents non dominant side, never use force when flushing the IV catheter |
| Circulatory overload | More fluid volume than the circulatory system can manage |
| Circulatory overload | Discomfort, neck vein distention, ↑BP, fluid in lungs, SOB, dyspnea, I > O |
| Circulatory overload | Infusion rate too fast, miscalculation, never play "catch up", positional IV |
| Circulatory overload | slow infusion to KVO, elevate HOB, notify MD, administer meds, O2, monitor VS, document |
| Circulatory overload | Know CV history, monitor lung/breath sounds, monior I&O, monitor & maintain rate, assess |
| Air Embolism | air in the circulatory system |
| Air Embolism | sudden onset of chest pain, SOB, lightheaded, ↓BP, weak rapid pulse, anxiety, pleuritic pain, ↓ or LOC, cyanosis |
| Air Embolism | Loose conection in IV system, intro of air during catheter placement, air pumped into circulatory system via electronic device, IV tubing not purged of air |
| Air Embolism | Hang new solution of KVO rate, position of left side trendelenburg position, (allows air to enter the right atrium & be dispersed via pulmoanry artery) Administer O2, VS, Notify MD, reassuracne, document |
| Air Embolism | Prime tubing, clamp centreal line catheters before removing caps or changing tubing. Do not use scissors near IV tubing. |
| Speed Shock | Flushed face, headache, tight chest, irregular pulse, LOC, shock, cardiac arrest |
| Speed Shock | Drugs administer too fast |
| Speed Shock | Discontinue drug infusion, begin infusion of dextrose 5% in water at KVO rate. Notify MD |
| Speed Shock | Follow manufacturers guidelines before giving any meds |
| Allergic Reaction | Itching, Rash, SOB, generalized body edema, ↑ BP, ↓ Pulse & Respirations |
| Allergic Reaction | Sensitivity |
| Allergic Reaction | Change IV to dextrose 5% and slow to KVO. Notify MD |
| Allergic Reaction | Question about allergies, check chart & wristband. Stay for 10-15 mins when infusing a new med for the first time |
| Systemic Infection | Septicemia or bacteremia caused by introduction of microorganisms into the circulatory system |
| Systemic Infection | Rapid temp, elevation, chills, shaking, nausesa, vomiting, malaise |
| Systemic Infection | contaminated IV device or solution. Failure to maintain asepsis, immunosuppression, device in vein longer than reccomended |
| Systemic Infection | Notify MD, ID possible casuses, remove IV per policy, culture tip, restart IV, Document |
| Systemic Infection | Examine fluid and tubing, monitor VS, maintain asepsis, change site & tubing |
| Catheter Embolism | All or part of IV device shears off into venous system |
| Catheter Embolism | Related to specific location of embolism; discomfort, ↓BP, cyanosis, thready pulse, respiratory distress, unconciousness, possibly no signs at all, chest pain |
| Catheter Embolism | Use of scissors next to IV, movement on insertion or removal, device not secured effectivley |
| Catheter Embolism | Apply turniquet, notify MD, stop IV infusion, restart IV in oppisite extremity at KVO rate, document No scissors, document that the catheter was intact when discontinuing an IV |
Created by:
rjh
Popular Nursing sets