An IV administration set becomes disconnected from a peripheral cannula, and the patient suddenly develops dyspnoea and chest discomfort. Which action should the nurse take first?
Correct answer: A. Clamp the line, stop the infusion, and give oxygen
- A. Clamp the line, stop the infusion, and give oxygen
- B. Restart the infusion rapidly to clear the line
- C. Flush the cannula forcefully with normal saline
- D. Place the patient flat and leave the line open
Explanation
The line is clamped and the infusion stopped to prevent further air entry, while oxygen and urgent assistance address the breathing problem. Restarting or forcefully flushing the line could worsen a suspected air embolism.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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