IV Therapy Midterm Study Guide

IV Therapy Mi Dterm St
Created Jan 30, 2011
by blowinpaint
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Constitutional Law
Rules and principles that describe the powers of government and peoples' rights.  Addresses...
Statutory/Legislative Law
Governs society- basic rules which are written by legislature or congress
Administrative Law
set by appointed agencies of government basic rules applied to specific groups  (Ohio...
Common Law
court made law based on interpretaion of statutory law  (Roe VS Wade)
Criminal Law
Offense that causes harm to society in general  (jail, fine, or both)
Civil Law
Affects legal rights of individuals or corporations  (more likely than not that the incident...
Tort
private wrong against a person or their property by act or omission
Intentional Tort
Assault & battery, false imprisonment, defamation, breach of confidentiality
Unintentional Tort/Negligence
person does not act in a resonable matter and causes harm or damage to a person or their property
Malpractice
Negligent conduct of a professional person
Liabiltiy
Legal responsibility
Breach of Duty
Failure to comply with standards of care
*** The 6 rights of administering medication
1. Right patient   2. right medication   3. right dose 4. right route    ...
What are  "Standards of Practice"
that of which the average qualified healthcare provider of the same training and background...
What are "Standards of Care"
describe outcomes of care, focus on patient
Risk Management
Process that centers on identification analysis, treatment, and evaluation of real and potential...
Name strategies to deal with potential hazards and reduce risk of liability
1. informed consent   2. documentation  3. unusual occurance reports ...
Informed consent
Without this, IV is assault and battery.  Patient must be capable of giving consent, must...
Five examples of what should be reported on an Unusual Occurrence Report
1.  Patient admitting diagnosis  2. Date/time incident  3. room #  4. name...
What are the recommended documenting guidelines of IV complaints/discomfort?
Date/time, vein specific insertion location, brand model/style of device, gauge & length,...
When should a medical device be reported to the FDA?
when it's faulty
What is some common device problems related to IV's?
contaminated infusate, skin organisms, device contaminated prior to insertion, cath hub contaminated,...
Elements of IV competency: Accountability
Nurse must be knowledgable enough to adjust interventions for long term & short term goals
Communication
Complete data through documentation
Collaboration
JCAHO demands (consult with other staff)
Autonomy
Independant decision making
List  5 physical occupational hazards and how they can be prevented
1.  Needlesticks (guards)  2. Abrasion (watch sharp objects)  3. Contusion (watch...
Quality Assurance
Policys and procedures that promote better outcomes
Quality management
Systemic process to ensure positive patient outcomes
According to 4723.17 Ohio Revised Code: List 5 procedures a qualified LPN MAY PERFORM
1. Prepare an adult for IV therapy 2. Assemble and maintain equiptment for gravity drip infusion 3....
List 5 procedures a qualified LPN MAY NOT PERFORM
1. Initiating blood components 2. Initiating or maintaining central venous line 3. Initiating...
Epidemiology
Study of diseases injury and causes    
Antigens
Invaders that trigger the immune system    
What are the primary organs of the immune system?
Thymus & Bone marrow
What are the secondary organs of the immune system?
Lymph nodes, spleen, liver, peyer's patches, appendix, tonsils, adenoids
Nonspecific Immune Response
present at birth (function without antigen)
Specific Immune Response
acquired functions (prior to exposure)
Active Immunity
vaccine or have the disease
Passive Immunity
use someone elses antibodies (maternal)
Signs/symptoms of immunosuppression
Frequent infections, more severe, rare infection agents, incomplete response to treatment
Colonization
Microorganisms replicate without signs and symptoms
Carrier
a colonized person--- No signs and symptoms
Dissemination
sheding microorganisms
Nosocomial Infection
Hospital aquired  (after 72 hours)
What is the most common microorganism that causes IV related infections?
Coagulase Negative Straphylococci
Chain of Infection: Causative agent
Causes infection
Reservoir
Place where it grows
Portal of Exit
Place where it passes from source to host
Method of transmission: Direct transmission
Touching it.. (Droplet within 3 feet)
Indirect transmission
indirect object carries the germ 3 types: 1. Vehicle borne: water, food, tourniquet 2. Vector...
Portal of Entry
way it enters the body of host
Susceptible Host
person at risk for infection
What are the three stages of antibiotic use?
1. infection suspected 2. adjusted to microbial agent (ID'd) 3. Patient shows improvement
Pharmacoepidemiology
benefit and adverse effects to drugs
Emporiatirics
study of disease in travelers
What is infusion phlebitis, include signs and symptoms
protective response of vein to irritation, injury, or invasion by disease producing organisms
What are 3 factors that cause infusion phlebitis?
1. Irritation 2. Injury 3. Invasion of organisms
List 4 of the stategies to prevent/treat infections
1. use recommended precautions 2. wash hands 3. no artificial or long nails 4. use skin...
What is the number one way to prevent infection?
wash hands
What are the 15 steps in Phillips 15 step method? Precannulation
1.Check order 2. Wash hands 3. Prep equiptment 4. Assess patient 5. Site selection/vein...
Cannulation
6. Needle selection 7. Glove up 8. Site prep 9. Vein entry 10. Stabilize cath and dress
Postcannulation
11. Label 12. Dispose of equipment 13. Educate 14. Calculate rate 15. Documentation
What are the two kinds of delivery systems?
1. Glass system 2. Plastic system
What type of tubing is needed with the glass system?
vented tubing or long straw
Coring and how do you prevent it?
Spiking through rubber stopper can cause rubber shreds to get into solution, (microscopic)...
List two advantages of the glass system
1. clear  2. good visualization of fluids/contents  3. easy to read level   ...
List two disadvantages of glass system
1. Breakage  2. bulky to store   3. hard to spike 4. disposal   5....
How do you check the glass system and what are you looking for?
1. Hold up to light, check for rainbows, must be clear, no floaters, no cracks, no flashes...
What are three contributing factors that could cause leakage in the plastic system?
1. Length of storage  2. heat   3. agitation   4. blood products  ...
Does the plastic system need vented tubing or nonvented?
doesn't need it but can use either  
List two advantages of the plastic system
Closed system, flexible, light weight, composed of one substance, easy storage
List two disadvantages of the plastic system
easily punctured, fluid level difficult to determine
How do you check the plastic system and what would you be looking for?
Inspect outer bag with inner bag (obvious condensation, inner wet?)  Squeeze for pin holes. ...
Spike
tops drip chamber, sharp tip, do not touch (must stay sterile)
Flange
plastic guard next to spike, hold behind flange to spike
Drop orifice
hole opening that determines drop size, determines the drop factor (10,20, or 60 gtt/min) or...
Drip chamber
connected to tubing (clear- can see to count drops)
tubing
primary/standard sets 66-100" long, vented or nonvented-- Secondary 32-42" long.  Each...
Clamps
compress tubing to reduce/stop flow  (roller, slide, or screw)
Injection ports
access for admin of meds, membrane covered, use 25 gauge needle for good reseal
Backcheck valve
Keeps piggyback solution from getting into primary, allows primary to restart when piggyback...
Hub
connects the administration set to the IV catheter, needleless system also called the male...
Final Filter
Removes foreign particles, blood set has specific filter, some remove air only
Macrodrip tubing
10-20 big drops= 1mL  
Microdrip tubing
60 tiny drops=1mL
What is the INS Standard for changing administrative sets?
Change continuous sets every 72 hrs and when suspected of contamination.  Primary intermittent...

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