Skills Checkoff: IV Insertion

Includes medications and their admin types, indications/possible side effects, push times, assessments, as well as notes to remember

phlebitis (inflammation of a vein) is characterized by:

pain, increased skin temp, redness along the vein

infiltration (IV fluids/meds leaking out of the vein into the surrounding tissue) is characterized by:

pain, decreased skin temp, edema, pallor

extravasation (IV fluid that is vesicant [toxic to tissue] leaks out of the vein into the surrounding tissue) is characterized by:

pain, blistering, necrosis, swelling

hydromorphone is aka:

dilaudid

lorazepam is aka:

ativan

furosemide is aka:

lasix

famotidine is aka:

pepcid

metoprolol is aka:

lopressor

protonix is aka:

pantoprazole

levaquin is aka:

levofloxacin

clindamycin is aka:

cleocin

0.9% NaCl is aka:

normal saline (NS)

hydromorphone/dilaudid is administered via:

IV push

lorazepam/ativan is administered via:

IV push

furosemide/lasix is administered via:

IV push

famotidine/pepcid is administered via:

IV push

metoprolol/lopressor is administered via:

IV push

protonix/pantaprozole is administered via:

IV push

levaquin/levofloxacin is administered via:

IV piggyback

clindamycin/cleocin is administered via:

IV piggyback

0.0% NaCl/normal saline (NS) is administered via:

IV regular

hydromorphone/dilaudid indication and adverse effects:

opioid pain med - may cause dizziness, constipation and respiratory depression

lorazepam/ativan indication and adverse effects:

anti-anxiety med - may cause dizziness, drowsiness, lethargy

furosemide/lasix indication and adverse effects:

loop diuretic - may cause dizziness, dehydration, lower BP

famotidine/pepcid indication and adverse effects:

histamine 2 antagonist/acid reducer - may cause confusion, black stool

metoprolol/lopressor indication and adverse effects:

beta blocker - may cause fatigue, dizziness

protonix/pantoprazole indication and adverse effects:

proton pump inhibitor/acid reducer - may cause abdominal discomfort, diarrhea

levaquin/levofloxacin indication and adverse effects:

antibiotic - may cause nausea, diarrhea

clindamycin/cleocin indication and adverse effects:

antibiotic - may cause nausea, diarrhea

0.9% NaCl/normal saline (NS) indication and adverse effects:

fluid replacement - typically no side effects but always potential for fluid overload, pt should report coughing or SOB

which two medications need to be diluted with saline prior to administration?

famotidine/pepcid and lorazepam/ativan

famotidine/pepcid dilution:

5mL saline

lorazepam/ativan dilution:

1:1 - equal amount of med and saline

what questions do you need to ask your patient prior to inserting the IV?

1. mastectomy within last 10y?

if yes, do not use that arm

2. do you have CKD?

if yes, current dialysis patient?

if yes, where is access?

if no, have you been told not to get BP or IV stick on either arm?

hydromorphone/dilaudid push time:

3 minutes

hydromorphone/dilaudid: do you need to assess anything before administration?

ask BP, RR, pain level

lorazepam/ativan push time is 2mg/1 minute. What is the push time for a 1mg dosage?

30 seconds

lorazepam/ativan push time is 2mg/minute. what is the push time for a 0.5mg dosage?

15 seconds

lorazepam/ativan: do you need to assess anything before administration?

ask BP, RR, anxiety level

lasix/furosemide push time:

2 minutes

lasix/furosemide: do you need to assess anything before administration?

ask BP and potassium

famotidine/pepcid push time:

2 minutes

famotidine/pepcid: do you need to assess anything before administration?

ask if allergic

metoprolol/lopressor push time:

1 minute

metorpolol/lopressor: do you need to assess anything before administration?

ask HR and BP

protonix/pantoprazole push time (draw up 2mL):

>2 minutes

protonix/pantoprazole: do you need to assess anything before administration?

ask if allergic

levaquin/levofloxacin infusion time:

1 hour

levaquin/levofloxacin: do you need to assess anything before administration?

ask if allergic

clindamycin/cleocin infusion time:

30 minutes

clindamycin/cleocin: do you need to assess anything before administration?

ask if allergic

the tourniquet can be tied around the patients arm for a maximum of how long?

2 minutes

how do you determine where to place the tourniquet on the patients arm?

4-6 inches above point of insertion