IV THERAPY COMPREHENSIVE EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔central delivery usually inserted into the... - ✔✔subclavian or jugular vein with
catheter tip resting in superior vena cava; PICC, nontunneled percutaneous central
catheters, tunneled central catheters, implanted ports
✔✔PICC - ✔✔peripherally inserted central venous catheter; type of central delivery;
inserted into basilic or cephalic vein just above or below the antecubital space of the
right arm, tip is in superior vena cava; long term use
✔✔nontunneled percutaneous central catheters - ✔✔type of central delivery that is
inserted through skin into subclavian or jugular veins and tip resides in superior vena
cava; placement MUSTbe confirmed by xray before first use; used for short term use
(typically used in E.R., trauma situations)
✔✔tunneled central catheters - ✔✔type of central delivery ;frequent, long term therapy
with surgical insertion, used when PICC line cannot be used; part of the catheter lies in
a SC tunnel, which separates the point where the catheter enters the vein from where it
exits the skin
✔✔implanted ports - ✔✔type of central delivery; long term access, completely under
skin, upper chest to superior vena cava, typically seen in chemotherapy; skin is
punctured every time it is used
✔✔administration set for IV therapy includes - ✔✔spike, drip chamber, roller clamp,
injection port, connector, IV pole
✔✔spike - ✔✔sterile part that goes into the solution bag/container
✔✔drip chamber - ✔✔filled with IV solution, permits predictable amount of fluid
, ✔✔roller clamp - ✔✔regulates the flow rate
✔✔injection port - ✔✔used to inject medications, also allows a secondary set to be
attached to the primary line
✔✔connector - ✔✔connects to IV line
✔✔IV pole - ✔✔the higher the IV is hung on the pole, the GREATER the gravitational
pressure, the higher the IV pole, the FASTER the IV will infuse
✔✔Macrodrip - ✔✔1020 drops per minute
✔✔Microdrip - ✔✔60 drops per minute
✔✔used to infuse the primary IV fluid by either gravity or by electronic pump, changed
every 72 hours - ✔✔primary administration set
✔✔secondary administration set - ✔✔aka piggyback set - shorter, attached at the Ysite
and used to give intermittent medications
✔✔intermittent administration set - ✔✔when there is no primary IV, this set is used to
give meds through a catheter, changed every 24 hours
✔✔electronic infusion devices - ✔✔administer exact amounts, have an alarm when IV
bag is low, when there is air in tubing or when flow is impeded by an occlusion
✔✔infusion pumps - ✔✔overcome gravitational pressure
✔✔syringe pump - ✔✔used for medication administration
✔✔nurse's role in IV therapy - ✔✔assess for complications and intervene early
✔✔check the site a minimum of__ hours - ✔✔8 (check integrity of dressing, adhering,
clean, dry, assess from site all the way to the IV tubing
✔✔complications of IV therapy - ✔✔infiltration, extravasation, phlebitis, thrombosis, air
embolism, circulatory overload, site infection, hematoma, pulmonary edema
✔✔infiltration - ✔✔leakage of nonvesicant (does not damages tissues) IV fluid into the
extravascular tissues
✔✔caused by puncture of vein during venipuncture, dislodgement of catheter, or a
poorly secured infusion device - ✔✔infiltration
QUESTIONS AND ANSWERS SURE A+
✔✔central delivery usually inserted into the... - ✔✔subclavian or jugular vein with
catheter tip resting in superior vena cava; PICC, nontunneled percutaneous central
catheters, tunneled central catheters, implanted ports
✔✔PICC - ✔✔peripherally inserted central venous catheter; type of central delivery;
inserted into basilic or cephalic vein just above or below the antecubital space of the
right arm, tip is in superior vena cava; long term use
✔✔nontunneled percutaneous central catheters - ✔✔type of central delivery that is
inserted through skin into subclavian or jugular veins and tip resides in superior vena
cava; placement MUSTbe confirmed by xray before first use; used for short term use
(typically used in E.R., trauma situations)
✔✔tunneled central catheters - ✔✔type of central delivery ;frequent, long term therapy
with surgical insertion, used when PICC line cannot be used; part of the catheter lies in
a SC tunnel, which separates the point where the catheter enters the vein from where it
exits the skin
✔✔implanted ports - ✔✔type of central delivery; long term access, completely under
skin, upper chest to superior vena cava, typically seen in chemotherapy; skin is
punctured every time it is used
✔✔administration set for IV therapy includes - ✔✔spike, drip chamber, roller clamp,
injection port, connector, IV pole
✔✔spike - ✔✔sterile part that goes into the solution bag/container
✔✔drip chamber - ✔✔filled with IV solution, permits predictable amount of fluid
, ✔✔roller clamp - ✔✔regulates the flow rate
✔✔injection port - ✔✔used to inject medications, also allows a secondary set to be
attached to the primary line
✔✔connector - ✔✔connects to IV line
✔✔IV pole - ✔✔the higher the IV is hung on the pole, the GREATER the gravitational
pressure, the higher the IV pole, the FASTER the IV will infuse
✔✔Macrodrip - ✔✔1020 drops per minute
✔✔Microdrip - ✔✔60 drops per minute
✔✔used to infuse the primary IV fluid by either gravity or by electronic pump, changed
every 72 hours - ✔✔primary administration set
✔✔secondary administration set - ✔✔aka piggyback set - shorter, attached at the Ysite
and used to give intermittent medications
✔✔intermittent administration set - ✔✔when there is no primary IV, this set is used to
give meds through a catheter, changed every 24 hours
✔✔electronic infusion devices - ✔✔administer exact amounts, have an alarm when IV
bag is low, when there is air in tubing or when flow is impeded by an occlusion
✔✔infusion pumps - ✔✔overcome gravitational pressure
✔✔syringe pump - ✔✔used for medication administration
✔✔nurse's role in IV therapy - ✔✔assess for complications and intervene early
✔✔check the site a minimum of__ hours - ✔✔8 (check integrity of dressing, adhering,
clean, dry, assess from site all the way to the IV tubing
✔✔complications of IV therapy - ✔✔infiltration, extravasation, phlebitis, thrombosis, air
embolism, circulatory overload, site infection, hematoma, pulmonary edema
✔✔infiltration - ✔✔leakage of nonvesicant (does not damages tissues) IV fluid into the
extravascular tissues
✔✔caused by puncture of vein during venipuncture, dislodgement of catheter, or a
poorly secured infusion device - ✔✔infiltration
