IV Skills Exam 3
Peripheral catheters - ANS-catheter ends in peripheral vein; only about 3inch long and
used for short term infusion therapy
Midline Peripheral catheter - ANS-Placed in the basilic, cephalic, or brachial vein; about
6-8inch long and used for 1-4 weeks of infusion therapy
Central venous access devices - ANS-catheter ends in lower 1/3 superior vena cava;
used for prolonged nutrition and medication therapy
Isotonic solutions - ANS-Equal salt concentrations; used to replace fluid losses, usually
extracellular losses, and to expand the intravascular volume
Hypotonic solutions - ANS-lower concentration of salts than the body cells; used for
rehydration from excessive fluid loss
Hypertonic solutions - ANS-higher concentration of salts than the body cells; used to
treat patients with severe hyponatremia
Before a nurse decreases the flow rate of IV that has gotten ahead, what must the
nurse consider or do? - ANS-if the new, decreased flow rate will be enough to keep the
vein open & the IV site patent, Vital signs
What to report to next shift: - ANS-solution type, flow rate, site assessment, how much
solution is left and when it is due
What needs to be kept open for peripheral catheter to be patent? - ANS-End of IV
catheter lumen, and lumen itself
blood clot at the end of the catheter, a blood clot in the IV catheter, kinks in the catheter,
or placement of the catheter - ANS-Factors that effect patency:
Parts of IV that must remain sterile: - ANS-spike of tube and secure lock; both ends of
catheter!
When is an IV vent used? - ANS-With glass or rigid containers
Pump rate - ANS-mL/hr
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