Treatment for severe reaction- call ___________ response, ___________ med and initiate O2 at 90-100% per nonrebreather face mask, replace IV tubing, infuse _______________, elevate HOB __________ to help with shortness of breath. Only elevate HOB _________ if patient is hypotensive.
Anticipate administering ________________ and diphenhydramine.
IV Catheter Embolism when part of the IV _____________ breaks off in the vein. This can happen if the IV catheter is damaged during insertion or there is too much ____________ when flushing the catheter or administering a med. Embolism can travel to the heart, lungs, or elsewhere in the body.
Manifestations- pain in the extremity proximal to ________________ site, signs of shock (shortness of breath, cyanosis, tachycardia), cardiopulmonary arrest
Treatment if suspect that part of the IV catheter has broken off, remove the peripheral IV and inspect the catheter tip, apply tourniquet _______ the IV site if broken piece can be palpated, notify provider, anticipate x-ray
Prevent Inspect the __________ for damage prior to insertion, never reinsert the ______________ into the catheter, when removing the IV catheter, _____________ the catheter to make sure it is intact before discarding.
Central Lines
Generally central venous lines are threaded into internal or external vein ending in the vena cava just above the right atrium. A _______________ is performed to confirm proper placement and to make sure there is no pneumothorax (more common with subclavian central line).
Multi lumen catheters has separate ________ coded ports.
Each lumen empties at different _______ of catheter.