Infusion Pumps, oxygen administration, central vascular access lines etc.

That Guy, BSN, RN, EMT-B · Dec 3, 2012

That is a lot of questions. Id ask to go back and ask them then when there is time.

Altra, BSN, RN · Dec 3, 2012

These needed to be discussed in the clinical setting. I hope that you can make up the assignment.

rateyes · Dec 3, 2012

We were only given 1 time to do this. I don't have the option to go back.

Hello everyone, I had an assignment to follow a radiology nurse around and ask her questions, the only problem is she was so busy the entire time that there was no appropriate time to ask these questions. Can anyone on this site help me?
1. Infusion Pumps:
a. Demonstrate where to find the name, volume, and how to set the rate of the medication or fluid.
The name and volume will be located on a label on the fluid bag. To set the rate, touch the rate key and enter in the rate and volume.
b. When do the bells or alarms typically go off on an IV infusion pump, and what things do you check for to correct the problem?
c. Demonstrate and list the proper sequence in the procedure to flush an angiocatheter to determine patency.
d. How do you remove air in an IV line?
c. What should you do if an IV bag runs out while the patient is in NM?
e. What special consideration needs to be given for infusion of blood or blood products?
f. What drugs, if any, require special instructions, overseeing, or administration by nursing personnel?
2. Oxygen administration:
a. Identify upside-down and right-side-up of a nasal cannula.
b. What is a "Christmas Tree"? and how is it used?
c. Discuss proper placement and control of O₂ and IV tubes during a NM scan. What needs to be
considered relative to the manipulation and movement of the gantry and detector?
d. What happens if you increase the O₂ flow to a COPD patient who is struggling for air?
e. What is the usual request from a patient in respiratory distress with which you cannot always comply?
f. Demonstrate how to unlock and activate an O₂ tank.
g. Identify and explain the gage on the wall O₂ unit and the O₂ tank.
3. Central Vascular Access Lines:
a. How does a central line differ from a peripheral infusion port?
b. Explain the appropriate location and purpose of placement of Hickman, Groshong,, Raff, Swan-Ganz,
single, double, or triple-lumen catheters.
4. Indwelling Tubes: Identify the purpose of each of the following gastrointestinal tubes, and discuss which of your Nuclear Medicine patients might arrive with them. Discuss how, if at all, might they interfere with specific patient studies, and explain what steps might need to be taken to ensure a good diagnostic study.
a. Nasogastric Tube
b. Gastric Tube
c. Feeding Tube
d. Chest Tube
e. Urinary Catheter
f. Foley Catheter
g. Colostomy Bag
5. Discussion question:
What considerations need to be kept in mind when injecting a radiopharmaceutical through an IV line,
infusion catheter, or central line? What Rph's require special handling or technique when injecting through a
vascular catheter and why? Are there any Rph's that should not be injected through a vascular access line
under any circumstances, and if so, what are they and explain the cautions involved.

rateyes · Dec 3, 2012

We were only given 1 time to do this. I don't have the option to go back.

That Guy, BSN, RN, EMT-B · Dec 3, 2012

Well then you messed up. Many of those say demonstrate and that is hard to do through the internet like this. Sorry but you either need to talk to the clinical site or your instructor about this.

Esme12, ASN, BSN, RN · Dec 3, 2012

We were only given 1 time to do this. I don't have the option to go back.

Here is the problem.....IV pumps are not the same at every hospital.....I can tell you all about the pump that I know and your CI is going to know you are lying because you are talking about another pump.

This is a lot of information assigned to find out if you were just following for one day.......but again.....these things vary facility to facility. I can give you an answer...but it might be the wrong one. One facility might allow the injection through the vascular catheter and another facility forbids it.

I am not sure we can help you......how can I show you how to turn on an O2 tank? You need to be aggressive in getting the information you need and to get the hands on experience. Not everyone calls the O2 connector a "Christmas tree".

Esme12, ASN, BSN, RN · Dec 3, 2012

1. Infusion Pumps: http://www.ivclinicalintegration.com/wp-content/uploads/2011/11/InfusionPumpTherapy_AGuide.pdf

a. Demonstrate where to find the name, volume, and how to set the rate of the medication or fluid.

The name and volume will be located on a label on the fluid bag. To set the rate, touch the rate key and enter in the rate and volume.

b. When do the bells or alarms typically go off on an IV infusion pump, and what things do you check for to correct the problem?

c. Demonstrate and list the proper sequence in the procedure to flush an angio catheter to determine patency. http://www.chartwellpa.com/pdf/patient_education/peripheral_catheter.pdf http://www.youtube.com/watch?v=bRTSFSmNCqY

d. How do you remove air in an IV line?

c. What should you do if an IV bag runs out while the patient is in NM?

e. What special consideration needs to be given for infusion of blood or blood products? Transfusion Therapy | Definition and Patient Education

f. What drugs, if any, require special instructions, overseeing, or administration by nursing personnel?

2. Oxygen administration:

a. Identify upside-down and right-side-up of a nasal cannula. http://www.freepatentsonline.com/6536436.html

b. What is a "Christmas Tree"? and how is it used?Christmas tree..... images?q=tbn:ANd9GcRDkgTLAGvVihN3XEY2IT5FlMKrXoZCs0OK3kmGONNdZ0xJC4ViYQ

c. Discuss proper placement and control of O₂ and IV tubes during a NM scan. What needs to be considered relative to the manipulation and movement of the gantry and detector?

d. What happens if you increase the O₂ flow to a COPD patient who is struggling for air? Use of Oxygen Therapy in COPD | Doctor | Patient.co.uk

e. What is the usual request from a patient in respiratory distress with which you cannot always comply?

f. Demonstrate how to unlock and activate an O₂ tank.

g. Identify and explain the gage on the wall O₂ unit and the O₂ tank.

Flow meter wall

3. Central Vascular Access Lines:

a. How does a central line differ from a peripheral infusion port?

b. Explain the appropriate location and purpose of placement of Hickman, Groshong, Raff(?), Swan-Ganz,

single, double, or triple-lumen catheters.

4. Indwelling Tubes: Identify the purpose of each of the following gastrointestinal tubes, and discuss which of your Nuclear Medicine patients might arrive with them. Discuss how, if at all, might they interfere with specific patient studies, and explain what steps might need to be taken to ensure a good diagnostic study.

d. Chest Tube

5. Discussion question:

What considerations need to be kept in mind when injecting a radiopharmaceutical through an IV line, infusion catheter, or central line? What Rph's require special handling or technique when injecting through a vascular catheter and why? Are there any Rph's that should not be injected through a vascular access line under any circumstances, and if so, what are they and explain the cautions involved.

Google is your friend......