More IV Fluids
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| show | Maintenance, to replace or correct deficits, to restore ongoing loss, for meds, nutirtion, phlebotomy, transfusions or blood product therapy.
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| show | Colloids, plasma proteins, albumin
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| show | Blood pressure
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| What is normal serum osmo? | show 🗑
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| What can expand the intravascular compartment? | show 🗑
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| What is the problem with using hypertonic fluids? | show 🗑
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| show | decreased LOC / Confusion.
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| show | Deplete the intravascular, decreasing BP and causing edema.
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| show | Crystalloid and Colloid
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| What is a crystalloid fluid? | show 🗑
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| show | Isotonic, HypOtonic and Hypertonic
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| show | Because they can pass through semipermeable membranes.
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| What is a Colloid fluid? | show 🗑
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| show | Pass between compartments. They draw the fluid to them.
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| Name three problems with IV fluid therapy. | show 🗑
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| show | cannot han, flush or change bags on a central line even if certified.
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| What can an RN NOT do with a central line. | show 🗑
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| How do you determine whether it is a central line or a peripheral line? | show 🗑
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| Name some isotonic fluids | show 🗑
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| Why do you need to be careful with LR and dehydration? | show 🗑
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| show | It metabolizeds the lactate to bi-carbonate which buffers acidosis
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| What are two common uses for Normal Saline (NS)? | show 🗑
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| show | 0.45 NS ( 1/2 NS)
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| What is a problem with HypOtonic solutions? | show 🗑
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| show | It has moce dissolved particles than bldy fluid.
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| What does a hypertonic fluid do? | show 🗑
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| show | Hydration and nutrition
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| show | they can move fluids very quickly.
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| show | TPN and PPN. Nutrition.
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| What type IV line do you use with Hypertonic dextrose saline? | show 🗑
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| Why must most hypertonic dextrose saline solutions be used with a central line? | show 🗑
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| How do you infuse hypertonic dextrose saline solutions? | show 🗑
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| Plasma expanders are not considered what? | show 🗑
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| show | Type and cross match.
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| Which of the two main categories of fluids do plasma expanders fall into? | show 🗑
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| What are Colloids used for? | show 🗑
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| show | renal insufficiency and CHF
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| PPN is used in what type of line? | show 🗑
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| TPN is used in what type of line? | show 🗑
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| show | H2O, PRO, CHO, fat, vitamins, trace minerals.
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| show | 24 hour supply
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| show | Non-function GI, Bowel obstruct., acute inflam, colitis, Crohns, malabsorption, chemo, burns, sepsis, ooncology, pancreatitis.
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| How do you know TPN is working? | show 🗑
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| What is the consideration with IVs and glucose? | show 🗑
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| show | I & O, weight, liver and renal function and electrolytes.
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| show | To make sure that they are excreting electrolytes.
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| Why do you use a micron filter with TPN? | show 🗑
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| show | To avoid hypOglycemic shock from cutting of the sugar.
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| show | No, don't mix with anything else.
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| What is an important consideration with albumin? | show 🗑
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| show | Fluid imbalances, metabolic acidosis, liver dysfunction, hyperglycemia and infection.
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| What lab can you use to monitor liver function? | show 🗑
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| What is the first thing that you assess wtih a patient? | show 🗑
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| show | What type line, correct solution according to MAR, what time hung, how much left to infuse, correct rate, everything current?
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| show | 24 hours
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| show | 72-96 hours depending on hosp
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| show | 72 - 96 hours depending on hosp
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| Why do you want to know how much infusion time is left? | show 🗑
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| Why inspect for blood return? | show 🗑
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| show | Y siet compatibility with other drugs you may be administering.
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| If you add another drung in and it becomes cloudy what is happening and what do you do? | show 🗑
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| show | Incompatibility. Stop IV and throw away the tube.
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| Who do you determine what is compatible in an IV? | show 🗑
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| show | Until the Dr has ordered it stopped.
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| show | Usually by syringe.
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| show | Printed on the bag.
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| How is gravity or free flow regulated? | show 🗑
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| show | Higher
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| show | Time tape the bag.
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| Continous infusion limits what and is what type of risk? | show 🗑
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| show | Gravity or free flow.
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| What anti-biotic can you NOT use with gravity/free flow infusion? | show 🗑
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| Name three things you cannot use gravity free flow with.. | show 🗑
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| show | the running rate of the IV
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| What does secondary rate mean with a pump? | show 🗑
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| What is the standard mix for Heparin with an IV? | show 🗑
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| One ml of Heparin for IV contains how many heparin units? | show 🗑
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| show | You check the dose with a second person.
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| what must you be careful about with the secondary rate of an IVPB? | show 🗑
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| show | closing slide clamp at the same time as flush.
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| show | The roller clamp of the primary bag.
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| show | intermittent (PCA), continous ( basal) or both rates.
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| What does the Dr order for PCAs? | show 🗑
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| Name six types of IV access? | show 🗑
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| show | Catheter management. Check site of inserting but do not change, pull dressing.
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| show | Q8hr and before and after meds.
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| show | To check patency.
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| How much is a routine flush of NS for a peripheral line? | show 🗑
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| show | Superior vena Cava.
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| A Quinton catheter is used for what? | show 🗑
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| show | Put in and taken out in the OR
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| You need to be certified to access what type of port? | show 🗑
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| show | Oncology
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| show | A right angled needle that you must be certified to use and accesses an implanted port.
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| show | Peripherally Inserted Central Catheter
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| show | Both
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| show | One or two, two is preferred
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| Before placement of a PICC what do you need to have? | show 🗑
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| You need to flush a PICC if there is no...what? | show 🗑
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| Who inserts a PICC. | show 🗑
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| What is the amount of NS used to flush a PICC? | show 🗑
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| What sixze syringe do you used to flush a PICC? | show 🗑
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| What approached is used for a PICC? | show 🗑
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| show | It is easliy occluded when they bend their arm (because it is so flexible)and DVTs are becoming more common as a result.
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| What are the seven complication of IV therapy? | show 🗑
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| show | administration of a non vesicant into tissue surrounding the vein or collapse or vein dissolving.
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| What is the difference between infiltration and extravasation? | show 🗑
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| S/Sx of infiltration? | show 🗑
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| What may be a first indication of infiltration? | show 🗑
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| show | loss of vein integrity , catheter dislodgement
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| Tx for infiltration.. | show 🗑
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| Prevention of Infiltration.. | show 🗑
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| Patient education for infiltration? | show 🗑
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| Extrasavation is.. | show 🗑
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| A Vesicant is.. | show 🗑
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| show | an agent capable of producing pain at site
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| show | Inflammation of the vein
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| S/Sx of Phlebitis.. | show 🗑
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| show | Permanent
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| If the phlebitis shows erythema where is it usually? | show 🗑
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| Causes of Phlebitis? | show 🗑
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| What is the Tx for Phlebitis? | show 🗑
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| Infection causes: | show 🗑
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| show | pain, tenderness, warmth, redness, elevated temp, chills, purulent drainage, elevated WBC
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| show | d/c IV, culture tip, call Dr
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| S/Sx of FVE | show 🗑
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| show | HOB high Fowlers, decrease EV rate temporarily, call Dr.
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| Prevention of FVE with IV | show 🗑
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| What is a positional IV | show 🗑
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| show | CHF, valve replacement surg, new valves, bad valves
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| S/Sx of air embolism | show 🗑
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| Air Embolism is a problem with what type line and not with what type line? | show 🗑
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| show | Clam IV, Place with right side up to trap air in right atrium, ( left side down,) trendelenburg, give O2, call Dr.
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| Prevention of Air Embolism? | show 🗑
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| show | sudden increase in plasman level of a drug after administration
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| show | syncope( transient sudden loss of conciousness with inability to maintain upright posture) cardiac arrest and shock
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| Prevention of speed shock? | show 🗑
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| show | Vancomyacin
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| Home care considerations with IV therapy are? | show 🗑
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| show | PICC line
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