CDS831 Emergency Management Test
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Venipuncture complications (4) - Answer non-running or very slow running IV infusion
Hematoma
Infiltration
Localized venous complications
Non-running or very slow running IV infusion can be caused by? (5) - Answer IV infusion
bag to close to heart level
Bevel of needle against wall of vein
Tourniquet of fluid outside vein
Venospasm
How can hematoma be prevented? - Answer Applying adequate amount of pressure on
venipuncture site
What is essential to detect prior to adminstration of drugs? - Answer Infiltration- fluid
extravation outside of vein
How is air embolism prevented? - Answer ensuring all IV lines and syrnges are cleared
of free air pre-op
If more than 1-2ml of drug ahs been administed extravascularly then admister
_____________________ at site of infiltration. It increases rate of drug absorption and
eliminates discomfort - Answer several mL of 1% procaine
What is the most significant localized complication of IV sedation - Answer Intra-arterial
injection
Intra-arterial injection can lead to? (3) - Answer tissue damage
gangrene
loss of limmb
Management of intra-arterial injection. Stop infusion, ____________________, administer
1% procaine - Answer leave needle in place
Local venous complications (2) - Answer Phlebitis
Thrombophlebitis
, Inflammation of vein - Answer Phlebitis
Inflammation of vein leading to formation of a thrombus - Answer Thrombophelbitis
Clinical signs of thrombophlebitis? (4) - Answer Edema
inflammation
tenderness
delayed onset
Management of thrombophlebitis? (4) - Answer Limit use of limb
Elevate
Warm compress
NSAIDs
Incidence of _______________is greater with gen anesthesia as compared to IV sedation -
Answer N/V
Causes of N/V? (3) - Answer swallowing blood
opiod admin
hypoxia
people at greater risk for N/V? (4) - Answer Women
non-smokers
opioid use/admin
History of post op N/V
Most common cause of morbitdity and mortality associated with IV mod sedation due to
lack fo recognition - Answer Respiratory depression
Two drug classes most likely to produce respiratory depression are? (2) - Answer
opioids
barbituates
management of respiratory depression? (5) - Answer Pt in supine position
Jaw thrust, head tilt-chin lift
Bag mask valve and positive pressure O2
Drug antagonists
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