Adult Health Exam 2

What assessments should the nurse complete prior to initiating IV therapy? – · Renal · Cardiac · Patient status (weight, I/O, labs) List several factors that might influence the flow rate via gravity (off pump) of an IV solution? – · Height of solution · Patency of cannula · Venous spasms · Size of cannula · Blood in tubing · Present of local complications · Tube occlusion · Viscosity of fluid · Location of IV insertion · Pt lifting IV site above heart · Accidental bumping of control clamp - can affect drip rate by moving clamp position List several types of central line catheters. List nursing interventions prior to the use and/or maintenance of the line. - 1. Implanted vascular access device (mediport, port-a-cath) - Used for long term therapy - Minimal care when not in use - Once implanted and accessed it needs to have continuous infusion maintained or be flushed periodically 2. Peripherally inserted central venous catheter (PICC) - Chest radiograph/ultrasound to confirm placement