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Ch 8 Vascular access, and admi.

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The total body water constitutes how much of the weight of an adult man? In %   60%  
What is intracellular fluid and how much in % does it account for body weight   Water contained inside the cells. 45%  
What is extracellular fluid and how much in % does it account for body weight   the water outside the cells. 15%  
Intracellular fluid is further devided into 2 other types of fluids. What are they   Interstitial fluid, and Intravascular fluid.  
What is Interstitial fluid and how much in % does it account for in body weight   The water bathing the cells. 10.5% of the body weight  
What is intravascular fluid and how much in % does it account for in body weight   The watger within the blood vessels (Plasma). 4.5%  
A solution is a mixture of what 2 things   Solute, Solvent  
What is a solvent   A fluid that does the dissolving, or the solution that contains the dissolved components.  
What is a solute   The dissolved particles contained in the solvent.  
When compounds or charges concentrated on one side of the cell membrane move across it to an area of lower concentratrion, This is referred to as   Diffusion  
When a cell uses energy to actively transport compounds across it's membrane, this is called   Active transport  
What reflects the concentration of sodium in a solution and the movement of water in relation to the sodium levels inside and outside the cell   Tonicity  
A healthy person loses approximately how much fluid from urine output, the lungs, and skin   2-2.5L  
What is defined as inadequate total systemic fluid volume   Dehydration  
What is it called when the body's total systemic fluid volume increases   Overhydration  
What are the fiv e basic types of IV fluids   Isoytonic, Hypertonic, Hypotonic, Crystalloid, colloid  
Lactated ringers should not be given to patients with liver failure becuase,   They can't metabolize the lactate  
D5W is an isotonic solution in the bag, but becomes what type of solution once administered   hypotonic  
Hypotonic solutions can cause cells to do what   Lise  
a Hypotonic solution will cause whater to what   be pulled from the vascular compartment and into the interstitial space potentially causeing cells to burst  
What is third spacing   An abnormal fluid shift into the interstitial compartment.  
What are crystalloid solutions   Dissolved crystals in water. Like sugar and salt  
What is the 3-1 replacement rule   When administering an isotonic crystalloid solution you have to replace 1ml of blood (say from blood loss) with 3ml of isotonic crystalloid solution  
Why use the 3-1 rule. What happens to 2/3 of the solution   It will leave the vascular space in about an hour  
What are the fluid bolus rates when trying to maintain profusion and LOC   20ml/kg  
What blood type is universally compatible   O-negative blood  
What is a perpheral vein   a vein that can be palpated and/or seen.  
What size are microdrip sets   60gtts  
What size are macrodrip sets   10 or 15gtts  
Putting an IV in the leg puts the patient more at risk for   Venous thrombosis, pulmonary embolism  
The escape of fluid into the surrounding tissue causing localized edema is known as   infiltration  
Inflammation of the vein and the presence of a clot is known as   Thrombophlebitis  
The physical blockage of a vein or catheter is known as   Occlusion  
An accumulation of blood in the tissue surrounding an iv site is known as   a hematoma  
Foreign protiens capacle of producing a fever are   Pyrogens  
What is characterized by an abrupt temperature elevation   pyrogenic reaction  
How can you largely avoid a pyrogenic reaction   inspecting the bag for any leaks cloudiness or discoloration  
How much extra fluid can a healthy adult handle without compromise   2-3 liters  
How much air introduced into the circulatory system can a healthy adult handle without compromise   200ml  
The shaft of a long bone is called   diaphysis  
the ends of a long bone are called   epiphyses  
The growth plate of the long bone is called   epiphyseal plate  
What occurs when the IO needle doesn’t rest in the IO space, but rather rests outside the bone   Extravesation  
Inflammation of the bone and muscle caused by an infection is called   Osteomyelitis  
Contraindications to an IO are   fracture, osteoporosis, osteogenesis perfecta, bilateral knee replacements.  
Only four medications can be administered through an et tube. What are they? LEAN   Lidocaine, Epinephrine, Atropine, Narcan.  
List in order the rates of absorption of all medication delivery routes, in order from fastest to slowest   IO, IV, ET, Inhalation, Sublingual, IM, SC, Rectal, Oral, and Topical.  


   


 

 

 

 

 

 
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