click below
click below
Normal Size Small Size show me how
Peds Quiz 1
IV Administration
| Question | Answer |
|---|---|
| What are pediatric considerations with IV administration? | Amt of drug to be administered; Safe dose; Child's age, weight, fluid status; Max conc of drug; Type of sol drug can be diluted; Length of time and rate of admin; IV tubing capacity; Compatibility; Timing of other IV drugs; IV site |
| What is pediatric IV tubing? | Microdrip -- 60 gtts/min = 60 mL/hr |
| What is the safe dose or safe dose range? | Based on weight or Body Surface Area (BSA) of child; Find safe dose in pediatric drug book; Compare calculated safe dose to dose ordered |
| What is the equation for body surface area? | BSA (m^2) = sq root of (wt(kg) X ht (cm)) / 3600 |
| What is the average adult BSA? | 1.73 m^2; use when there is no safe dose in children |
| What is the safe dose when there is no safe dose for children? | (Child's BSA / 1.73 m^2) X adult safe dose |
| What are nursing considerations of IV therapy in pediatric client? | Check IV site q1h front AND back; Strict I&O, daily weights; Small volume pumps; Buretrol; Microdrip tubing; Monitor for s/s of hypervolemia; NO DIRECT IV PUSH; Micro filter for any pt w/ cardiac surgery/defects |
| What is a buretrol/volutrol? | Attached b/w IV bag and catheter; Controls amount allowed to infuse over specific period of time; OSCAR to fill chamber; Check agency policy -- who needs to use, age, weight, med; Max amt of fluid based on hours, EX: only 2 hrs of fluid in infuser |
| What is OSCAR? | Open, Squeeze, Close, And Release |
| What is intraosseous infusion? | Emergency access via proximal tibia, distal tibia, distal femur, medial surface above malleolus; Can give large amts of fluids, meds; Standard tubing used, treat like PIV w/ inc infusion pressure; Heparin flush; Can aspirate bone marrow |
| Why central venous access devices? | High conc TPN; Prolonged IV treatment; Blood products; Large volumes; Assess central venous circulation |
| What are different central venous lines? | Femoral; Subclavian; Internal Jugular; External Jugular; PICC (superior vena cava); Broviac/Hickman (surgeon placement, long term); Port (no routine care, can swim, use Huber needle) |
| How to calculate 24 hr fluid maintenance? | 1st 10 kg of weight X 100 mL/kg; 2nd 10 kg of weight X 50 mL/kg; Any amount over 20 kg of weight X 20 mL/kg; ADD AMOUNTS |