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How often should the IV container be changed
How Often should the IV tubing be replaced
How often should the IV dressing be changed
How often should the IV site be changed?
What is the most ideal gauge for blood products
If there is blood in the tubing, what has happened?
IV has gone dry
Why should you not administer cold medications IV?
Cold causes vasoconstriction. Sometimes room temperature is too cold.
Which vein is a PICC usually inserted in?
PICCs are good for TPN and?
What kind of technique is used for a central line dressing change?
What are the S/S of infiltration?
Signs of infiltration: cool, swelling, redness, pt complaint of pain, (tingling, numbness = nerve damage)
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
what is extravasication?
Leakage of a vesicant IV solution or medication into the extra vascular tissue
What does a red streak over a the skin indicate?
- 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
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)
Chest pain, SOB, decrease BP, increase HR, cyanosis, anxiety, confusion,and hypoxia are signs of what?
A pt with an increase in BP, distended neck veins, and SOB is suspected to have?
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
If a drug is given too fast what happens
- Speed Shock
- dizziness, chest tightness, flushed face, irregular pulse
List 4 Isotonic Solutions
- .9% NSS
- 5% dextrose in 0.225% saline
- Ringers Lactate
List 5 Hypertonic Solutions
- 5% Dextrose in 0.9% Saline
- 5% dextrose in 0.45% saline
- 5% Dextrose in Ringers Lactate
- 3% Sodium Chloride
What Composes HAL?
- high concentration of dextrose
- Fat emulsion
- High calorie in low volume
What are the S/S of hyperglycemia due to TPN?
- polyuria (excessive urination
- polyphagia (excessive hunger)
- polydipsia (excessive thirst)
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
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
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
The nurse assess the IV flids via gravity and notices that it is running slowly the nurse should first
Check the tubing for kinks
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
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)