24-96-24-4 - Answer: -IV Tubing good for 24 hours -IV site needs to be changed every 96 hours -TPN only good for 24 hours -blood can only hang for 4 hours Main veins for IVs - Answer: -Cephalic -Basilic -median cubital -Antebrachial Tourniquet - Answer: -left on no longer than 2 minutes Attempt policy - Answer: -2 attempts per nurse, 4 total attempts EMS/"dirty" IV lines - Answer: -need to be changed in 24 hours Midline IVs - Answer: -look like peripherals, but only go to axilla -treat it like a peripheral -good for 29 days PICC lines - Answer: -used for therapy longer than 6 days IV Therapy Course -cant be inserted on side if mastectomy was done -dressing change q7days Extravasation - Answer: -do not remove IV -call pharmacy to see if there is an antidote that can be given Blood transfusions - Answer: -type and screen good for 3 days -be sure to check for consent -do pre transfusion vitals, and then 15 min after infusion -*must transfuse blood in 4 hours** Veins - Answer: -do not pulsate and will collapse when pressed Aberrant artery - Answer: -artery that is unusually superficial Superficial fascia - Answer: -the location of the veins used for venipuncture Factors affecting ability to use veins - Answer: -extra body fat -excessive burns -IV drug use Basic vessel locations - Answer: -digital -metacarpal -cephalic -basilica IV Therapy Course -median Veins of the forearm - Answer: -cephalic -basilic -median cubital -median ante brachial