51-75 IV homework Flashcards
Which of the following questions does the paramedic generally NOT ask himself when determining te most appropriate IV solution to use on a pt?
A) is the pts condtion critical?
B) will the pt need meds?
C) has the pt had IV therapy before?
D) will the pt need fluid replacement?
C
In the prehospital setting the MOST commonly used IV solutions are?
A) colloid solutions
B) hypotonic crystalloids
C) hetastarch and saline
D) isotonic crystalloids
D
Once an IV solution is removed from its protective sterile bag, it must be used in:
A) immediately
B) within 24 hours
C) within 36 hours
D) within 48 hours
B
Onc the pigtail is removed from the sterile access port of the IV solution the solution must be used in:
A) immediately
B) within 24 hours
C) within 36 hours
D) within 48 hours
A
A microdrip admin set:
A) allows 10 to 15 drops per mL
B) delivers 1mL for every 60 drops
C) should be used when pt need fluid replacement
D) does not contain a needlelike orifice in its drip chamber
B
When a pt needs rapid fluid replacement, you should:
A) use a microdrip admin set because you can deliver more precise volumes of IV fluid
B) choose and admin set that delivers the least amount of volume per the most number of drops
C) select an admin set that contains a large opening between the piercing spike and drip chamber
D) use a microdrip admin set in oder to avoid inadvertently overloading the pt with fluid
C
When preparing an IV set you should NOT:
A) invert the bag if the drip chamber contains too much fluid
B) run the IV fluid through the admin set to flush air out
C) fill the drip chamber of the admin set with IV fluid
D) cleanse the piercing spike before inserting it into the IV bag
C
Blood tubing is a:
A) special type of microdrip admin set that contains a inline filter designed to cleanse transfused v=blood of impurities
B) macrodrip admin set that is designed to be used exclusively with 1000ml bags of O-negative blood
C) macrodrip admin set that is designed to facilitate rapid fluid replacement by manual infusion of the multiple IV bags or combo of IV fluid or blood
D) special admin set with dual piercing spikes that allow the medic to administer IV fluids to two critically ill or injured pt at the same time
C
The purpse of volutrol(buretrol) admin set is:
A) avoid inadvertent fluid overload
B) deliver large volumes of IV fluid
C facilitate piggyback meds infusions
D) deliver max of 50ml of IV solution
A
When selecting a vein for connulation you soulf avoid areas of the vein that:
A) are straight
B) pass over joints
C) are firm ad springy
D) appear to be straight
B
When initiating an IV line in the upper extremity of a stable pt you should:
A) always use the antecubital vein
B) look at the anterior forearm first
C) start proximal and work distal
D) start distally and work proximally
D
Large protruding arm veins in an otherwise healthy adult can be different to cannulate because the often:
A) are covered by thick skin that bends the IV catheter
B) constrict in response to insertion of the IV catheter
C) roll from side to side during cannulation attempt
D) rupture spontaneously when punctured with the needle
C
Track marks alog the ourse of the pt vei are usually a sign of:
A) sclerosis caused by frequent cannulation
B) numerous one-ay valves inside the vein
C) small vein rupture caused by hypertension
D) multiple thromboses deep in the vein
A
When selecting the most appropriate IV catheter you should routinely consider all of the following EXCEPT:
A) the age of the pt
B) the purpose of the IV
C) the location of the IV
D) the pt gender
D
In contrast to butterfly catheters, over the needle catheters:
A) are more likely to rupture the vein due to excessive movement of the pt
B) allow for greater pt movement without the need to immobilize the entire limb
C) are more difficult to insert and are more cumbersome to secure in place effectively
D) may cause blood cell damage when drawing blood through the teflon catheter
B
