Peripheral Intravenous Catheter (PIVC) Care Management

What are the most common complications associated with intravenous catheter insertion in ICU patients?

• A) Phlebitis
  

• B) Infiltration
  

• C) Infection
  

• D) All of the above

How can an a Nurse identify signs of phlebitis, and what are the recommended interventions?

• A) Swelling and redness at the IV site, apply heat
  

• B) Pain and redness at the IV site, remove the catheter and apply a cold compress
  

• C) Swelling at the IV site, replace the catheter in a different vein
  

• D) Pain and swelling in the arm, administer antibiotics

What are the primary causes of infiltration and extravasation in intravenous therapy, and how can they be prevented?

• A) Poor catheter placement, improper fluid rate
  

• B) Incorrect medication administration, excessive pressure on the IV line
  

• C) Catheter dislodgement, occlusion of the catheter
  

• D) All of the above

What is the first step if you notice signs of phlebitis at a PIVC site?

• a) Administer pain medication
  

• b) Remove the catheter immediately
  

• c) Apply a cold compress
  

• d) Notify the healthcare provider without taking action

Which of the following best describes phlebitis?

• a) Inflammation of a vein caused by catheter use
  

• b) Leakage of IV fluid into surrounding tissue
  

• c) Blockage of blood flow through a vein
  

• d) Bacterial infection of the bloodstream

How should you confirm PIVC patency before administering medication?

• a) Observe for redness
  

• b) Flush the line with normal saline
  

• c) Check the patient’s temperature
  

• d) Administer a small dose of the medication

What is the difference between infiltration and extravasation, and why is it important to distinguish between the two?

• A) Infiltration is when the IV fluid leaks into the tissue, extravasation involves harmful medications
  

• B) Infiltration involves only saline, while extravasation involves antibiotics
  

• C) Both terms refer to the same complication and require similar interventions
  

• D) Infiltration is a less serious condition, while extravasation is always life-threatening

What measures should staff take to ensure proper maintenance and monitoring of intravenous lines to minimize complications?

• A) Change the catheter every 24 hours and regularly check the patient’s temperature
  

• B) Ensure aseptic technique during insertion, secure the catheter properly, and monitor the site for signs of infection or complications
  

• C) Only monitor for infection at the catheter insertion site
  

• D) Check the catheter only when the patient complains of discomfort

What is clinical criteria for VIP Score 3 of IV line complication?

• No symptoms

• Erythema at access site with or without pain

• Pain at access site with erythema and/or edema

• Pain at access site

  erythema

  Induration

What is definition of "Chemical Phlebitis"

• Is caused by antibiotics, chemotherapy or other medications that have been given into your vein.

• Occurs when the movement of the IV line within the vein causes friction and damages the blood vessel walls

• Occurs when bacteria is introduced into the bloodstream via an intravenous injection or catheter placement

• An inflammation that causes a blood clot to form in a vein