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Peds Quiz 1

IV Administration

QuestionAnswer
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
Created by: teenie0731
 

 



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