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Self assessment MCQs

Where are the IV sites for the lower extremities?

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dorson of the foot, femoral vein

Where are the sites for IV cannulatio in the upper extremity?

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Dorsum of the hand, forearm, actecubital fossa (cephalic, basilic)


What materials are needed for an IV cannulation?

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  1. gloves.

  2. alocohol wipes.

  3. tournequette

  4. lidocaine (local anaesthetic)

  5. Cannula

  6. stopcoc.

  7. gauze

  8. Flush

  9. tape/bioadhesive tape


what is the preferred location of an IV? why?

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dorsum of hand; easy access ; stable veins; pts tolerate it better.

Which veins are commonly used in the antecubital fossa?

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cephalic, basilic, median cubital


Disadvantages of dorsum of foot?

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poor acces; the fluid has to travel  a long distance before becoming systemic

When preparing the IV cannulation site, what are the steps?

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1. locate suitable vein

2. apply touriquet

2. maximize venous engourgement

4. clean/disinfect are with alcohol wipe.


What are the steps for IV cannulation insertion?

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1. Apply traction

2. insert catheter

3.flash advance cath

4. release tourniquet


Name two reasons arterial cannulation used for?

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Continues Blood pressure monitoring, Arterial blood sampling, 


Name Four suitable sites for arterial lines placement

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radial, brachial, femoral, dorsalis pedis


Why is the radial artery the preferred artery for an arterial cannulation site?

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easy to cannulate, access, adequate collateral circulation

which artery provides majority of blood flow to hand in 90% of patients?

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Ulnar

The larger the cannula, the __________the fluid flow

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Higher


The larger the cannula Guage number, the _____________the cannula

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Smaller


Layers of veins / arteries

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Tunica Intima, Tunica Media, Tunica Adventitia

Common canulae sizes are:

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24G, 22G, 20G, 18G, 16G, 14G

  Enter "veins" or "arteries" to fill in the blanks

Arteries pulsate on palpation.

Veins are usually located near the skin surface.

Veins carry dark blood and have a slow return when cannulated.

Veins contain valves.

Arteries carry blood away from the heart.

Arteries carry bright red blood and have a quick return when cannulated.

Try to sequence the steps of IV cannulation in their proper order (1-17)

 

12 release the tourniquet


16 tape the IV tubing to the skin


7 select the insertion site

6 apply gloves


3 select the equipment


10 insert the cannulation device


2 prepare the patient


8 dilate and palpate the vein


5 prepare the solution set

1 review the indication for IV access

13 withdraw the needle


17 document the procedure


4 select the cannulation device


14 connect the fluid filled tubing to the hub / flush

11 advance the cannulation device


15 apply clear sterile dressing


9 prepare the site

 

 
    
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