Fluid Resolution Flashcards

(51 cards)

1
Q

what type of fluid resolution contains water, fluid or plasma

A

solvent

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2
Q

what type of fluid resolution that contains solids such as cells, electrolytes and gasses

A

solute

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3
Q

what type of fluid resolution that has a mixture of blood (endogenous)

A

solution

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4
Q

what are the 2 exogenous solutions

A
  1. crystalloids
  2. colloids
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5
Q

smaller particles, electrolytes , glucose
(isotonic, hypotonic, hypertonic)

A

crystalloids

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6
Q

larger particles, (albumin, dextron, blood products

A

colloids

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7
Q

water moves from an area of low solute to high solute area; to Dilute the highly concentrated area

A

osmosis

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8
Q

type of solution that is equal= no movement of water, stays in the blood

A

isotonic, BEST FOR FLUID REPLACEMENT

for blood, shock and FVD

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9
Q

type of fluid that has a water + sodium chloride. ONLY COMPATIBLE SOLUTION IN BLOOD TRANSFUSION, IRRIGATION, DKA, USE FOR BODY CAVITY. USE FOR SHOCK.

A

PNSS (0.9% NaCl)
Do not use in instrument because can cause rust

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10
Q

type of fluid used in metabolic acidosis, DKA and BEST FOR BURNS

A

Plain LR (na, cl, k+, ca, lactate (alkaline)

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11
Q

it can be categorize as isotonic or hypotonic solution. given for the Hypoglycemic pt

A

D5water

Never give it to Hyperglycemia, Give for hyponatremia

D2.5 water and D5water for hypoglycemia

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12
Q

considered as a isotonic solution

A

plasmalyte 148 and Normosol M

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13
Q

type of fluid that has more water diluted and cells will swell can cause hypovolemia. This must be given to CELLULAR DEHYDRATION BUT C/I to SHOCK, FVD, CELLULAR EDEMA AND INCREASED ICP

A

HYPOTONIC
Ex. Hypotonic saline (<0.9%)
-0.33% NaCl will increased K+ and Ca
-0.45% Nacl

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14
Q

More solute, concentrated; Cell shrinking/crenation

A

Hypertonic solution- good for hypovolemia

C/I cellular dehydration

Such as:
SIADH, CHF, Renal Failure, Pulmonary edem

Hypertonic saline ex:
-3%nacl for cerebral edema
-5%nacl

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15
Q

Alternative for TPN

A

D10water for hypogly

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16
Q

Given to the hypoglycemia coma px GCS 3. Sugar <70+unconscious

A

D50w given via central line

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17
Q

What are the solutions that are good sources of glucose

A

-0.45% NSS with dextrose
-D5LR to decrease glycemia and k
-D5Nss

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18
Q

What is the best insetion of IVTT procedure

A

Arteriovenousarch

-dorsal of the hand basilic and becalic

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19
Q

Best IVTT insertion in infant

A

Feet and scalp vein
-Naturally splinted by bones
-avoid areas of flexion.

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20
Q

What are you going to avoid in IVTT procedure

A

the AV fistula site & Mastectomy site

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21
Q

what are the Gauges of Adult and Infant

A

Adult 22-27
infant 24-27

22
Q

what compression type of used in vein distention

A

warm compress (moist heat)*
wrap hand 10-15 mins

23
Q

sequence of IVTT procedure

A
  1. apply tourniquet with 6 inches
  2. dangle
  3. gently tap the vein
  4. clench fist
  5. stroke the vein upward (towards the heart)
    - Distal vein first
24
Q

BQ: IV prep

A

-technique is sterile
-clean glove
-change IV tubes if unsterile

25
air embolism postion
left lateral Trendelenburg/ Durant position O2 therapy BVM (100%)
26
Pulmonary edema position
upright
27
Best Disinfect
Chlorhexidine 2nd option 70% alcohol -cleanest- dirties (circular motion)
28
IV angle insertion
15-30 degree backflow, flush with PNSS (5ml). 2 failed attempt called another nurse. -secure with Transparent Dressing Dressing Q72-96 Tubing and IV bag Q24-48hrs
29
Leakage of solution to tissue
infiltration -swelling, pain, COOL, PALLOR
30
inflammation of vein, pain, warm, Redness, (+) redstreak
Phlebitis -causing on keeping moving, dancing, wrong gauge
31
inflammation of the vein (+) cord like vein, like a telephone cord
Thrombophlebitis
32
leakage px vesicants cause potent irritants
Extravasation - antibiotics, kcl, chemo drugs, vasopressor, Na Hco3 - cause Blisters, ulcerations & necrosis/ eschar - Do not remove first need to aspirate
33
FVO risk blood tranfusion
Mild: Increased BP= slow to KVO rate -10ml/hr -10-20gtts/min * upright -2ml/min
34
inflammation, pain warm, redness (+) discharge , serous discharge, purulent discharge, fever increased wbc
infection/ sepsis Stop & remove IV mgt 1. stop 2. elevate 3. compress: warm- decreased cool- for pain numbness of the vessels 4. cool for vesicant *- irritation of the skin except 2V VV arm=Vasopressors, Vinca alkaloids
35
found in RBC surface also known agglutinogen
Antigen
36
found in the plasma, agglutinin
antibodies
37
kapila na baby naay complication si mother sa rh
2nd exposure
38
universal donor
O-
39
Universal receipient
AB+
40
rareset "Golden blood"
RH null - no rh antigen and autosomal recessive
41
how many mins should the blood need to be START to be transfused and how many hrs will be transfused?
30 mins - 4 hrs Stay with pt for first 15-30 mins 2ml/ml or 20ggts/min
42
prefusion meds
acetaminophen- paralytic drug, it is hepatotoxic, Limit 400mg/day -Diphenhydramine- for itchiness Hydrocortisone-for corticosteroid
43
baseline lung sound
crackles- fluid overload wheezing- bronchospasm stridor- anaphylaxis
44
urine with complication after transfusion
Hematuria= homolytic reaction
45
complications after blood transfusion
1. febrile Nonhemolytic reaction= expected - fever, chills, anxiety - give acetaminophen 2.Hemolytic transfusion reaction -fever, chills, chestpain, impending doom, flank pain, acute kidney infection, hematuria, hypotension, increased HR RR s/sx of hypoxia -STOP TRANSFUSION, INCOMPATIBLE BLOOD, CHANGE TO NSS @KVO RATE 3. allergic reaction- rashes, pruritus 4. FVO-s/sx crackles and edema 5. Communicable DSE- hepa, HIV, Malaria, dengue 6. electrolyte imbalances 7. Anaphylactic shock- Rushes pruritus, stridor, dob hypoxia, hypo- tachy-tachy STOP -IM, IV, EPINEPHRINE
46
BQ: Px has been stab, what type of blood will you transfused
Pack RBC
47
type of blood product best for blood loss r/t trauma or surgery
PRBC Hgb 1unit=1g/dl Hct=3%
48
made from plasma, for thrombocytopenia, candidate for transfusion, with or without bleeding
platelet concentrate -for dengue, hemolytic fever
49
contain clotting factors, #1 fibrinogen
Fresh frozen plasma - can be transfused at DIC- disseminated intravascular coagulation- clotting and bleeding condition by chemo, amotic embolism
50
blood product for Hemophilia, vonwille brands dse, DIC
Cryoprecipitate
51
time transfusion for PRBC, platelet, fresh frozen plasma, cryoprecipitate
PRBC 2-4hrs platelets, FFP, Cryo= within 30 mins