Ultrasound Guided IV – Review Quiz A score of 100% is required to pass this quiz. Once you have passed the quiz, you will be asked for your email so a certificate can be sent to you. 1. What are the indications for UGIVP?*Select all that apply. 4 failed attempts at direct IV access Known or suspected difficult IV access 5 or more failed attempts at IV access Does not require immediate IO or central venous access Facilitate optimal IV placement 2. What are the contraindications of UGIVP?*The same as for direct IV placementPeripheral Vascular DiseaseDiabetic Neuropathy3. What are some complications of UGIVP?*Select all that apply. Arterial puncture Nerve damage Local infiltration is more difficult to assess when deeper veins are cannulated 4. Risk of complications increase when?*When the vein is below 2 cmWhen there is less than two thirds of the catheter in the veinWhen the vein is below 1.6 cm5. The ultrasound probe should always be either held or placed in its cradle to avoid having it drop on the floor*TrueFalse6. It is best practice to confirm the catheter placement by assessing for vanishing target sign, observing intra-lumen saline flush, and assessing adequate catheter length intra-lumen*TrueFalse7. Veins can be identified by:*Select all that apply. Collapsing more readily than arteries Non-pulsatile Color flow Doppler on those machines that are capable of this Their thick white walls 8. What is the one method to ensure a steady image?*Resting the probe arm and anchoring the probe with the probe fingers on the patients skinHolding the probe on the sideHolding the probe with an underhand grip9. What is the best vein to place and UGIV?*The largest most distal vessel of the arm, with the least surround arteries and nervesThe brachial veinThe cephalic veinAny vein within the antecubital fossae10. When you find the vein of choice to cannulate, what depth should you set the monitor at?*2.2 cm3 cmAs shallow as you can to see the target vessel and relevant surrounding structures2 cm11. What are some common errors when attempting to place an UGIV?*Select all that apply. "Back walling" or damaging the posterior services of the vein due to not decreasing the angle of the IV catheter prior to advancing the needle and separating the catheter Not keeping track of the needle tip Not stabilizing the transducer so the image moves around Moving the transducer too much and/or too quickly 12. When you find a possible target vein, you scan up and down its length to check whether it is suitable to cannulate and to line up its track/direction for the cannula insertion*TrueFalse Copyright © 2019 Alberta Health Services. Emergency Strategic Clinical Network This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. The license does not apply to AHS logos and trademarks or third party works licensed by AHS. To view a copy of this license, see https://creativecommons.org/licenses/by-nc-nd/4.0 Disclaimer • This material is intended for general information only and is provided on an “as is,” “where is” basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. • This material is not a substitute for the advice of a qualified health professional. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use.