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IV Therapy Worksheet
1. 6 reasons a client may require IV therapy.
o Administer: ______________, ________________, __________________, 
______________, _________________
o _____________________ for potential emergencies
2. IV complications
o Blood Administration complications
 Acute ______________ reaction – when blood is not compatible with recipient
ï‚· Symptoms – fever, chills, _____________, _____________
ï‚· Nursing interventions – stop transfusion, notify provider, monitor VS
 ____________________________ reaction – reaction to platelets/granulocytes
ï‚· Symptoms – significant _________, chills, HA, ___________
ï‚· Nursing interventions – stop transfusion, notify provider, monitor VS, 
administer ________________, possibly _________________________
 Allergic reaction – sensitivity to plasma proteins
ï‚· Symptoms – itching, _________, facial flushing, anxiety, _____________
ï‚· Nursing interventions – stop transfusion, notify provider, administer 
_____________________, possibly _______________________
o CLABSI – ________________________________________________________________
 Prevention – hand hygiene, maintenance bundle, limit access time
o Phlebitis – _________________________________________
 Symptoms – pain/redness along vein above insertion site, ______________ to 
touch, _____________________ like vein
 Causes – mechanical/chemical irritation, local infection
 Nursing interventions – ________________ IV, initially apply _______________ 
compresses, reevaluate for need of IV 
o Infiltration – ____________________________________________
 Symptoms – _______________ and swelling at site, sluggish IV rate, 
____________ of the site
 Causes – catheter dislodged, puncture of vein, high delivery rate/pressure

 

 

 Nursing interventions – _____________ IV, ___________ compresses for 
comfort for fluids, _____________ compresses for medications
o Extravasation – ___________________________________________________
 Symptoms – inflammation at the infiltration site, pain, _____________, 
_____________
 Nursing interventions – ______________ IV, apply _____________ compresses 
to the site, administer _______________
o Thrombosis – _________________________________________________
 Symptoms – stopped/slowed infusion, ___________ at the site, _____________ 
to restart IV flow
 Causes – trauma to vessel, low flow rate
 Nursing interventions – ______________ IV, apply _______________ compress, 
assess _______________
o Air embolism – ____________________________________________________
 Symptoms – hypotension, ___________________ pulse, 
wheeze/cough/dyspnea, change in ____________________, anxiety, chest pain
 Nursing interventions – place in _________________ on left side, administer 
____________, monitor VS
 Prevention – remove _________ from tubing/syringes before administration of 
fluids/meds
3. Nursing responsibilities regarding IV therapy
o Site assessment/care
 Assess site every ______________ when fluids are infusion
 Assess site every _________________ when no fluids are infusing
 Flush IV catheter every _________________, before/after every medication
 Prevent backflow of blood that could lead to ____________________
 Recent EBP on routine changing of IVs – ___________________ complications
 ___________________ IV when no longer necessary
o IV medication Administration
 Review ____________________
 Always ensure __________________ with IV fluids before administering 
medications

 

 

 Use the port _________________ to the insertion site
 Review__________________ to push/administer medication
4. Role of the nurse in initiation and maintenance of an IV infusion
o Verify the order
 Type of _______________
 _____________ to be infused
 Drug _________ and ___________
 ______________ for infusion or time it should take to infuse
o Initiate IV access
 _______________ technique
 Appropriate site – ____________ vein on _____________ hand is preferred
5. IV equipment and IV solutions
o Supplies
 ___________________ with IV start kit (flush, tourniquet, cleaning agent, 
transparent/occlusive dressing)
 Tubing – ____________ (longer) and ____________(shorter)
 IV pump
o Fluids
 Isotonic – ______________________________________________
 Hypotonic – ____________________________________________
 Hypertonic – ____________________________________________
6. Methods of administering medications via the IV route and nursing responsibilities with each
o IV push medication
 Administer: ______________, medication, ______________
o IV piggyback medication
 Administer with __________________ tubing
 __________________ primary fluids until secondary medication is administered
o IV concurrent medication
 Administer with primary or secondary tubing
 Runs concurrently with primary fluids (_________________________)

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 102

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