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IV Therapy #1
Electrolyte
| Question | Answer |
|---|---|
| Gauge to use for IV Therapy | 20 to 22 for most IV fluids. |
| gauge to use for blood administration | 14 to 18 |
| Nursing Responsibilities for IV Theapy | -Initiate -Monitor -Discontinue - varify the order. |
| Types of Vascular Access Devices (4) | 1) Peripherally inserted cannula 2) Central line catheter 3) Peripherally inserted central venous cannula (PICC's) 4) Implanted ports |
| Sodium Values | 135 - 145 |
| Potassium Values | 3.5 - 5.0 |
| Calcium Values | 4.5 - 5.5 |
| Chloride Values | 90 - 110 |
| Magnesium Values | 1.5 - 2.5 |
| Isotonic fluids | 0.9% NS LR D5W |
| Hypotonic fluids | 0.45% NS 1/3 NS |
| Hypertonic fluids | D10W D5NS D5LR |
| What does Isotonic fluids do | Balance volume doesn't change levels replaces or restores |
| What does Hypotonic fluids do | They hydrate the cells and deplete the circulatory system |
| What does Hypertonic fluids do | to replace eletrolytes and to shift fluid from the cells to the blood |
| you are to flush the IV site how often to ensure patency | Q 6 hrs. |
| CDC recommends tubing change no more often than | 72 hrs. |
| S/S of fluid overload | moist crackles, edema, weight gain, dyspnea, and shallow tachypneic resp. |
| S/S of Air Embolus | dyspnea & cyanosis, hypotension, Chest, shoulder, and low back pain, loss of consciousness, weak and rapid pulse. |
| Treatments |