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Cardiac

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IV Therapy is used for: Fluid volume maintenance, Fluid volume replacement, med administration, blood administration, TPN, emergency line,
Nursing responsibilities for IV sites assess site (CLEAN, DRY, INTACT) document at least every 8 hours, awareness of Fluid types and complications.
Complications of IV therapy ain and irritation, infiltration and extraversion, occlusion, loss of patency, phlebitis.
Phlebitis Causes bacterial, chemical, mechanical
Phlebitis Assessment erythema, pain or burning, warmth, oedema, cordlike vein.
Crystalloids clear fluids, dextrose or saline, can be Iso, Hypo or Hyper tonic
Colloids cloudy, yellowish, used to raise osmotic pressure,
Isotonic IV same tonicity as body 0.9% NSS
Reasons to give an Isotonic IV Hypotension (increases BP), Hypovolemia
Complications of Isotonic IV Fluid overload
Examples of Isotonic Solutions 0,9% NSS, D5W(isotonic in bottle, hypotonic in body), Lactated Ringers
Reasons to give a Hypotonic IV Will cause Fluid to shift from intravascular to intracellular space.
Indications for Hypotonic IV dehydration
Hypotonic Solutions 45% sodium chloride, 5%dextrose water (becomes hypotonic in body)
Complications of hypotonic solution May cause oedema, more fluid in bloodstream can cause circulatory overload.
Reasons to give a hypertonic IV low blood pressure, slight oedema but not w/CHF, pulls fluid from intracellular space to intravascular space
Created by: Pambarpuram
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