Diagnostic Procedures for Peripheral IV/Midline - Answer -Typically None
Administration of vasoconstrictive medications through a central line is required within
how many hours of initiation? - Answer -12 hours
How often are site checks required during a 12 hour peripheral administration of
vasoconstrictive medications with a peripheral IV? - Answer -Hourly
When is peripheral administration al lowed with vasoconstrictive medications? - Answer -
emergent settings or
when a central line is contraindicated or unobtainable
definition of a vesicant - Answer -an agent capable of causing tissue damage when it
escapes into the surrounding tissue.
examples of a vesicant - Answer -chemotherapy
vancomycin
potassium
norepinephrine
infusate considerations for PICC, CVC, Tunneled CVC or Implanted VAD - Answer --
osmolarity is >900 (TPN is >900)
- irritating to veins
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- administration of vesicants
durati on considerations for PICC, CVC, Tunneled CVC or Implanted VAD - Answer -6-
28 days (midline PICC)
29-90 days (PICC or Tunneled CVC)
>90 days (PICC, IVAD, Tunneled CVC)
Examples of poor venous quality - Answer -- History of difficult access
- Unsuccessful after 4 attempts
- Obese
- Edema to upper extremities
Diagnositc Procedures for CT w/contrast - What should be used? - Answer -Peripheral
IV
Power rated: Midline, PICC, IVAD
Diagnostic Procedures Q6hr lab draws or greater - what should be used? - Answer -
PICC
Non Tunneled CVC
Diagnostic Procedures for CVP Monitoring - what should be used? - Answer -PICC
Non Tunneled CVC
What size catheter should be used for most infusion therapies? - Answer -24-20 gauge
peripheral iv's larger than 20 gauge are more likely to cause what? - Answer -phlebitis
what gauge catheter is used when rapid fluid replacement is required? - Answer -20-16
how much fluid can be administered per hour with a 22 gauge catheter? - Answer -3
liters
what veins should not be used to administer vesicants? - Answer -hand
what gauge catheter can an adult hand handle? - Answer -24-20 gauge
where should a large bore iv be placed if required? - Answer -forearm
antecubital site in adults accomoda tes what in emergencies (and diagnostic tests) -
Answer -fluids that are delivered very rapidly
name the catheter color in size from smallest to largest - Answer -yellow = 24
blue = 22
pink = 20
green = 18
brown = 16 Powered by TCPDF (www.tcpdf.org)
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