General Questions or Facts Flashcards

1
Q

Hypertonic IV fluids include:

5

A
3% NS
5%NS
D5W/ 1/2 NS (0.9 NS)
D5LR
D10W
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2
Q

Hypotonic IV fluids:

3

A
  1. 45% NS (1/2NS)
  2. 225% NS (1/4 NS)
  3. 33% NS (1/3NS
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3
Q

Isotonic IV fluids

A

0.9% NS
5% dextrose (D5W)
5% Dex. in 0.9%NS (D5W/ 1/4 NS)
Lactated Ringer’s (LR)

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4
Q

Colloids

A

Dextran

Albumin

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5
Q

Six Rights

A
Right Patient
Right Drug
Right Dose
Right Route
Right time
Right Documentation
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6
Q

Emergency treatment for air embolism induced by IV

A

clamp tubing
turn client on left side - Trendelenburg
(traps air in right atrium)
contact provider

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7
Q

S/S of Air Embolism

A
tachycardia
dyspnea
hypotension
cyanosis
decreased LOC
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8
Q

S/S Catheter embolism

A
Decreased BP
Pain along the vein
Weak, rapid pulse
Cyanosis of the nail beds
Loss of consciousness
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9
Q

S/S Circulatory Overload

A
Increased BP 
Distended jugular veins
Rapid Breathing
Dyspnea
Moist cough and crackles
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10
Q

S/S Hematoma (IV related)

A

Ecchymosis, immediate swelling and leakage of blood at the site, and hard and painful lumps at the site

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11
Q

S/S Infection

A

Local - redness, swelling and drainage

Systemic - chills, fever, malaise, headache, nausea, vomiting, backache, tachycardia

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12
Q

S/S Infiltration

A

Edema, pain, and coolness at the site; may or may not have a blood return

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13
Q

S/S Phlebitis

A

Heat, redness, tenderness at the site
Not swollen or hard
IV infusion sluggish

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14
Q

S/S Thrombophlebitis

A

Hard and cordlike vein
Heat, redness, tenderness at site
IV infusion sluggish

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15
Q

S/S Tissue damage

A

Skin color changes, sloughing of the skin, discomfort at the site

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16
Q

Lactated Ringers solution contains potassium. What patient should not receive LR?

A

Patients in Renal Failure

Hyperkalemia

17
Q

What size needle(s) can be used for emergency fluid administration, blood products or anesthetics?

A

14-, 16-, 18-, 19- gauge

20-gauge is smallest for blood

18
Q

Needle size for fat infusions (lipids)?

A

20- 21-gauge

19
Q

Needle size for standard IV fluid and clear liquid IV medications?

A

22-, 24-guage avg veins

24-, 25-gauge for small veins

20
Q

IV solutions containing saline is contraindicated in these patients.

A

CHF

21
Q

IV fluids containing dextrose is contraindicated in these patients.

A

Diabetes Mellitus

22
Q

Skeletal and spinal abnormalities, bleeding disorders, use of anticoagulants, history of multiple abscesses and sepsis poses a contraindication for what?

A

administration of epidural analgesia

23
Q

Precautions for Bacterial Meningitis

A

Droplet

24
Q

Expected ICP range

A

10 - 15

25
Q

Expected PaCO2

A

35-45