Fundamentals of Critical Care Nursing (FCCN) level 1 Practice Exam

In the context of a patient with a myocardial infarction, establishing two peripheral intravenous (PIV) sites is considered best practice. This approach facilitates rapid access for potential medications and fluids that may be needed urgently during treatment, enabling timely interventions such as the administration of thrombolytics, anticoagulants, and other critical medications.

Having two PIV sites is beneficial in emergency situations where swift action is necessary. It provides an additional access point in case one site fails or if a higher volume of fluids or multiple medications needs administration simultaneously. This is especially crucial in a cardiac emergency, where every second counts, and multiple infusions may be required to stabilize the patient's condition.

While one PIV site might be adequate in some scenarios, it does not offer the same reassurance and preparedness as having two. When dealing with serious conditions such as myocardial infarction, ensuring robust venous access is a priority for effective management and treatment of the patient's needs.