Purpose of IV Therap Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Identify 4 reasons for delivering IV medication/therapy | fluid maintance,fluid replacemnt, restoration and medication delivery |
What maintance therapy does (Crystalloid (isotonic)) | addresses the bodies daily fluid requirements provides H20, electrolytes and dextrose (shouldn't have 2 in a row)glucose. improves hepatic function calories for energy spares body protein minimises ketosis |
Types of patients that may require maintance therapy | NPO (nill by mouth) surgical |
Replacement therapy used when | fluid, electrolyte and blood deficiency in acute situations |
Replacement therapy is | delivered over a 48 hour period usually isotonic |
Types of patients that may require replacement therapy | haemorrhage low platelet count prolonged V&D starvation bowel surgery wound infections |
Restoration therapy is | fluid and electrolyte replacement restore homeostasis concurrent losses on an ongoing basis |
Restoration delivery | fluid ordered depends on fluid lost and blood serum levels acurate FBC is critical |
Types of patients that may require restoration therapy | patients with fistulas abcesses nasogastric tubes burns abdominal wounds frequent changes of type of fluid ordered |
Medication administration may be given | neat,diluted, as a bolus, over a period of time, continuous, short time from over 4 hours and intermittently |
Client assessment issues | in balances in fluid and electrolyte levels may impact on body systems thorough client assessment is vital in detecting these imbalances |
Maintaining PH is particulary important for | cardiac and respiratory conditions |
Client assessment | inspection, palpation ascultation |
Central nervous system clinical manifestations | confusion, irritability, restless, headaches, nausea and muscle spasms. |
Cardiovascular system clinical manifestations | tachycardia,(increases to pump more blood around the body) large jugular vein, heart rhythm weak and thready, palor, clammy |
Respiratory clinical manifestations | dyspnoea (shotness of breath) tachypnea (rapid breathing)cough, APO (acute pulmonary oedema, pink frothy sputum. crackles in breathing |
Gastrointestinal System clinical manifestations | abdo pain, bloating, dry mucus membrane,increased abdomen and reduced peristalsis (wavelike movement in the stomach) |
Renal system clinical manifestations | reduced output, anuria (not passing urine)skin tisues and other system symptoms |
Musculoskeletal clinical manifestations | spasms if low, fatigue |
Integument system manifestations | colour, gross oedema, dry, fluid leakage and turgor (assessment of fluid loss by pinching the skin etc) |
Other issues related to IV therapy | environmental, lifestyle, medications may influence fluid balance (diuretics, steroids)acute or chronic illnessess (diabetes, renal , respiratory, gastro,increased temp (every raised degree of temp is a reduction of 150 mls of fluid) self image, psycolog |
Infants are at | greater risk of FVD |
Age 2-12 risks are | less tolerant to large changes regulatory mechanisms operate within an narrow range |
Adolescence risks | adolescence are used to larger changes in fluid balance |
Older adult risks | reduced renal blood flow and GFR and homeostasis is affected |
Monitoring input and output | weigh at the same time, clothes and scales. 1L of water = 1 kg FBC to be acurate |
Fluid volume excess (high) | excess consumption decrese urine output often associated with cardiac, liver and renal disorders |
Nursing fluid overload | sit up diuretics fluid restriction vital signs education |
Fluid volume deficit | dehydration symptoms, temp, decreased fluid intake, increased fluid output,reduced kidney function |
Fluid volume excess clinical manifestations | oedema, LVF, SOB |
Fluid volume deficit clinical manifestations | diabetes insipidus, gastro etc. |
Nursing fluid deficit | vital signs, push fluids, FBC, IV therapy |
Created by:
caronjones
Popular Nursing sets