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SELF/Intraosseous Access/Complications and Aftercare Quiz

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▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

Which one of these is a recognized serious complication of IO infusion?

Pulmonary embolism from marrow fat unrelated to flow
Glomerulonephritis
Extravasation leading to compartment syndrome
Severe hyperglycaemia

2

After successfully placing an IO and beginning resuscitation, which follow-up order is most appropriate?

Monitor neurovascular status of the limb every hour
Leave the IO in place for up to 72 hours before converting
Do not attempt alternate IV access until IO is removed
Flush with large boluses of hypertonic saline every 5 minutes

3

Which statement about proper IO documentation is most accurate?

You should document time of insertion, site (limb/bone), needle size, and any complications
It is optional to record whether consent was obtained if the patient was unconscious
It’s acceptable to leave out the reason for converting to IV access later
Only adverse events need to be recorded; routine use doesn’t require details

4

If a pressure infuser device is unavailable, which adaptation helps maintain IO infusion flow in low-resource settings?

Elevate the fluid bag by hoisting it as high as possible
Wrap a blood pressure cuff around the bag and inflate to moderate pressure
Use a syringe pump directly to push fluid through IO
Rely solely on gravity and accept slower flows

5

Why is early removal of the IO line and transition to IV or central access recommended?

IO access allows laboratory tests on every sample indefinitely
Once placed, IO lines must never be manipulated
IO access becomes nonfunctional after 1 hour
IO lines have higher infection and complication risk over time


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Global Surgical Training Challenge
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Intraosseous Access/Complications and Aftercare Quiz
Views 8 page views (analytics)
Created October 6, 2025 by KatKor
Last edit March 9, 2026 by Ian-laurel
Cite as KatKor (2025–2026). "SELF/Intraosseous Access/Complications and Aftercare Quiz". Appropedia. Retrieved June 4, 2026.
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