EMRG 1300 - IV/Meds

Question 1

Purpose of IV therapy

Answer 1

Restore and replace intravascular volume
administer meds and/or emerg pharmacological treatment
Maintain venous access in emerg situation

Question 2

What is the route of choice

Answer 2

through peripheral vein in an extremity

Question 3

Body fluids

Answer 3

Intracellular fluid - 45% of body weight, all fluids in cells
Extracellular fluid - 15% of body fluid, water outside of cell (intravascular - blood vessel, interstitial - outside vasculature but not in tissue)

Question 4

Arteries

Answer 4

thick muscular walls, transport fluids (blood , lymph) to and from organs, carry blood way from heart

Question 5

Veins

Answer 5

Blood vessels located throughout your body that collect oxygen-poor blood and carry blood to heart. Has a valve to prevent back flow

Question 6

Capillaries

Answer 6

smallest vessel, connect veins and arteries. exchange of materials between the blood and tissue cells

Question 7

Macro Drip Sets

Answer 7

10, 15, 20 gtt/ml
effective for TKVO and large fluid admin (bolus)

Question 8

Micro Drip Sets

Answer 8

60 gtt/ml
deliver meds over long periods of time
control amount of fluid given (peds) and fluid overload in certain pt (elder/CHF)

Question 9

Reasons for Microdrip use

Answer 9

1. Deliver meds over a long period of time
2. regulate the flow of medication precisely
3. control the amount of fluid
4. TKVO in pt’s when fluid overload is concern

Question 10

Gauge Size

Answer 10

24 (yellow), 22 (Blue), 20 (pink), 18 (green), 16 (grey), 14(orange)

Question 11

What is a crystalloids IV solution

Answer 11

Dissolves crystals such as SALTS in water crates crystalloids solutions
CONTAINS NO PROTEINS

Question 12

What is the action of a crystalloid solution

Answer 12

remains in the intravascular space for a short time before diffusing across the capillary walls into the tissue

Question 13

What is a COLLIODS IV solution

Answer 13

It contains LARGE molecules such as PROTEINS

Question 14

What is the action of colloids solutions

Answer 14

don’t pass through capillary membrane

Question 15

Hypotonic refers to what?

Answer 15

lower NaCl in the cell, big cell (cytolysis)

Question 16

Hypertonic refers to what

Answer 16

Higher NaCl in the cell, shrivelled cell (plasmolysis)

Question 17

Isotonic refers to what?

Answer 17

equal in and out, perfect, like me

Question 18

How long is a bag good for? and what do you need to indicate on it

Answer 18

24hrs
you need to indicate the date, time and name

Question 19

how do you find a good site?

Answer 19

they are based on:
- visibility of veins
- stability of vein