IV Therapy

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IV Therapy
2011-02-02 14:43:43

Fluid n Electrolytes IV therapy
Show Answers:

  1. How often should the IV container be changed
  2. How Often should the IV tubing be replaced
  3. How often should the IV dressing be changed
  4. How often should the IV site be changed?
  5. What is the most ideal gauge for blood products
  6. If there is blood in the tubing, what has happened?
    IV has gone dry
  7. Why should you not administer cold medications IV?
    Cold causes vasoconstriction. Sometimes room temperature is too cold.
  8. Which vein is a PICC usually inserted in?
    Antecubital Fossa
  9. PICCs are good for TPN and?
    longterm medications
  10. What kind of technique is used for a central line dressing change?
    Sterile technique
  11. What are the S/S of infiltration?
    Signs of infiltration: cool, swelling, redness, pt complaint of pain, (tingling, numbness = nerve damage)
  12. What should you do if you are not sure if the line has been infiltrated
    • Check for blood return, flush, ask another nurse, or wait 15 minutes and assess again
    • Do not need a dr. order to pull out a peripheral line
  13. what is extravasication?
    Leakage of a vesicant IV solution or medication into the extra vascular tissue
  14. What does a red streak over a the skin indicate?
  15. Pyrogenic Reaction
    • Abrupt rise in temp(104-105), severe chills, shaking, increase HR, RR, headache
    • most common cause is a contaminated line
    • if not corrected, pt can go into septic shock
  16. What postition should you put a pt in when you suspect an air embolism
    • left lateral modified trandelenberg
    • (prevents air from going to the lungs. air will get trapped in Right atrium)
  17. Chest pain, SOB, decrease BP, increase HR, cyanosis, anxiety, confusion,and hypoxia are signs of what?
    Air Embolism
  18. A pt with an increase in BP, distended neck veins, and SOB is suspected to have?
    Circulatory Overload
  19. If a pt is suspected to have Circulatory Overload, What should be done
    First address airway. Increase head of the bed. Put oxygen on, now you can call doctor, and doctor will order lasix
  20. If a drug is given too fast what happens
    • Speed Shock
    • dizziness, chest tightness, flushed face, irregular pulse
  21. List 4 Isotonic Solutions
    • .9% NSS
    • D5W
    • 5% dextrose in 0.225% saline
    • Ringers Lactate
  22. List 5 Hypertonic Solutions
    • D10W
    • 5% Dextrose in 0.9% Saline
    • 5% dextrose in 0.45% saline
    • 5% Dextrose in Ringers Lactate
    • 3% Sodium Chloride
  23. What Composes HAL?
    • electrolytes
    • vitamins
    • minerals
    • protien
    • high concentration of dextrose
  24. Intralipids
    • Fat emulsion
    • High calorie in low volume
    • Isotonic
  25. What are the S/S of hyperglycemia due to TPN?
    • polyuria (excessive urination
    • polyphagia (excessive hunger)
    • polydipsia (excessive thirst)
  26. What are the S/S of hypoglycemia due to TPN?
    • S/S: shakiness, diapherisis, headache, tremors, confusion(later symptom)
    • Infection because of high sugar content is great place for infection to grow
  27. What are the advantage and disadvantages of IV push?
    • works very fast
    • you will be standing there if pt has any rxn
    • but you need to know how much to push and how fast you can push it
  28. What are the advantages and disadvantages of IV piggback?
    • Advantage: not as fast, not as high concentration
    • Disadvantage: prob not going to be there if he has a reaction to the med
  29. The nurse assess the IV flids via gravity and notices that it is running slowly the nurse should first
    Check the tubing for kinks
  30. After assessing the patency of pts catheter, the nurse attempts to flush the catheter and meets resistance. What does nurse do next?
    Stop the flush and discontinue the IV
  31. The Nurse finds that The TPN bottle is infusing at 60 ml/hr and has run out, and solution is not avail. What action should nurse take.
    Infuse 10% dextrose and water at 60 ml/hour (in order to prevent hypoglycemia)