Iv and I

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  • Created by: Louisa
  • Created on: 21-09-20 16:52
what is important to remember when doing IV access
procedure is explained, consent gained, approproate site chosen, placemet technique, sharp is amanged and vein is confoirmed patent
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what is potential harm in IV access
on-going non-compressible haemorrhage, penetrating truama, AAA, needs surgical control
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what factors make us decide whether to give fluids or not
early hemodynamic effects, haemostatsis. pH buffering, oxygen carriage, safety
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what fluid do we give
isotonic saline
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do we often give fluids to an entrapped Pt
yes
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what is priority before fluids
transfering
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what bolus of fluids do we give
250 ml
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in what circumstances do we give more than the reccomended amount
sepsis, DKA and obstruction
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what are the 6 rights of medication
right PT, drug, dose, route, time and documentation
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cannuala size 22 for
drugs and fluid in children
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cannula size 20 for
drugs and fluid in children and drugs in the elderly
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cannula size 18 for
drugs ad possible fluid in adults in can't gain large bore access in adults
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cannula size 16 + 14 for
adults, and fluids and drugs
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when gaining IV access you work
distally and move proxminally
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what are the view characteristics
straight, firm + round in appearance, and springy when plapated
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what sites should be avoided for Iv access
vein crosses the joints, oedenatou extremeties, an extremity with dialysis fistuala or same side as a mastectomy.
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when should we use an external jugular vein cannulation
only used in adults in cardiac arrest with no trauma above the waist
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what is the landmark for a jugular view cannulation
angle of jaw to mid-clavicular line and approx half way down
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waht cannula is used in external jugular vein
large bore cannula
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removing a cannula is not a
routine procedure
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what is the case that we would remove a cannula
failed attempt and Pt withdraws consent
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what is the procedure to remove a cannula
remove tape, pull back gently with pressure on vein and anticpate blood loss
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what is the indication to do an IO access
Iv has failed in a cardiac arrest, primary peads route in peads cardiac arrest, no IV access
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contraindication fot IO
had an IO in target bone i nthe last 24hrs, inability to locate landmarks, prior orthopaedic procedure near insertion, infection at insertion
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what are the needle length options
15mm, 25mm, 45mm
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what needs to be visual after pentration of the skin
a black line
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Other cards in this set

Card 2

Front

what is potential harm in IV access

Back

on-going non-compressible haemorrhage, penetrating truama, AAA, needs surgical control

Card 3

Front

what factors make us decide whether to give fluids or not

Back

Preview of the front of card 3

Card 4

Front

what fluid do we give

Back

Preview of the front of card 4

Card 5

Front

do we often give fluids to an entrapped Pt

Back

Preview of the front of card 5
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