Question

Ini Peripherally inserted Hemma Phlebitis Proximal the superior vena cava 6. An IV needle or catheter with a styler 7. Farthest from the center or from the trunk 8. A localized collection of blood in the sub neous tissue from a break in a blood vessel CRITICAL THINKING COMPLICATIONS OF IV THERAPY Fill in the last with the correct complication I. Pain and inflammation at the IV insertion site is called Read the following case study and answer the Mr. Livesay is admitted with cellulitis and is te ids by gravity drip. When you check his IV, you dripping. answer the question and is receiving its Chis IV. you find the 2 Redness and exudate at the IV insertion site indicate the presence of 3. Infiltration into tissue by an IV fluid or drug is called 1. What data can you collect to determine the cause problem? 4. Dyspace and crackles can be a sign of 5. A cool, puffy insertion site indicates 2. What is the role of the licensed practical nurse/licensed vocational nurse? 6. Fever, chills, and tachycardia indicate a systemie infection called 7. Sharp pain at the IV site during infusion of a cold fluid indicates a 8. If the patient develops cyanosis, hypotension, and loss of consciousness, the nurse should suspect 3. When must the registered nurse be consulted? Dilute medicati • Kеер тү mfusion rate. tem

Answer 1

Complications of IV therapy

1. Pain and inflammation at the IV injection site is called Phlebitis
2. Redness and exudates at the IV injection site indicate the presence of infective phlebitis
3. Infiltration into the tissue by an IV fluid or drug is called extravasation.
4. Dyspnea and crackles can be a sign of fluid overload.
5. A cool, puffy insertion site indicates infiltration.
6. Fever, chills, and tachycardia indicate a systemic infection called sepsis.
7. Sharp pain at the IV site during infusion of a cold fluid indicates a venous spasm.
8. If the patient develops cyanosis, hypotension, and loss of consciousness, the nurse should suspect air embolism.

Critical thinking

• Name of the client: Mr.Livesay
• Diagnosis: cellulitis
• Treatment is given: Is receiving IV fluid by gravity drip

The fluid is not dripping

1. Data that can be collected to determine the cause:

Mr. Livesay is receiving IV fluid by gravity drip, if the fluid is not dripping the nurse should collect the following data:

• Check whether all the clamps are open
• Check whether the IV bag is higher than the IV line.
• Check the insertion site for infiltration, redness, and pain.

2. Role of the licensed practical nurse/ licensed vocational nurse

If all the clamps are open and the IV bag is above the IV line and the patient has no signs of phlebitis, then the licensed practical nurse/ licensed vocational nurse can flush the IV line with saline. Ensure that hands are washed and the hub of the IV line is scrubbed for at least 15 seconds.

3. The registered nurse should be consulted

If the licensed practical nurse/ licensed vocational nurse finds that the patient is having phlebitis, then the registered nurse should be consulted to change the IV site.