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NCM - Ma'am Lorna > IV Therapy > Flashcards

IV Therapy Flashcards

1
Q

It is the administration of liquid substances directly into a vein.

A

Intavenous Therapy

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2
Q

An efficient and effective method of supplying fluid directly into the ___________

A

compartment and replacing fluid losses

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3
Q

Supply fluid when patients are ______ (purpose)

A

unable to take in an adequate volume of fluids by mouth.

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4
Q

Provide ____ and other electrolytes needed (purpose)

A

salts

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5
Q

Provide ____ tamis (purpose)

A

Glucose

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6
Q

Provide ___ and ___ (purpose)

A

water-soluble vitamins & medications

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7
Q

Establish a ______ for rapidly needed medications (purpose)

A

lifeline

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8
Q

To correct ____ (purpose)

A

dehydration

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9
Q

For administration of ______ (purpose)

A

blood/b.component

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10
Q

Provide nutrition while resting the _____ (purpose)

A

Gi tract

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11
Q

Monitor ____ (purpose) acronym yan

A

Central Venous Pressure

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12
Q

For ___ pt. (indication)

A

dehydrated

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13
Q

For ____ pts (indication)

A

Burn

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14
Q

For patient whose been ordered ____ as his/her diet

A

NPO

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15
Q

Advantages

A

cant take oral meds
accurate dose
acts instantly

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16
Q

Disadvantages

A

bleeding, infiltration, infection, allergic reaction
limit pt activities
costly

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17
Q

2 Delivery method

A

peripheral Iv therapy
Central IV therapy

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18
Q

Administration of IV through the vein (lower and upper extremities)

A

Peripheral IV therapy

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19
Q

Administration of IV solution through central vein (subclavian and jugular vein)

A

Central IV Therapy

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20
Q

Administration of IV solution through central vein (2 veins)

A

Subclavian and jugular vein

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21
Q

Proportion of body fluids

A

Intracellular and extracellular

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22
Q

percentage of Intracellular

A

70%

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23
Q

Found inside the cell surrounded by a membrane

A

Intracellular

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24
Q

This is a compartment with highest percentage of water in adults

A

Intracellular

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25
Q

percentage of extracellular

A

30%

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26
Q

Found outside the cell

A

extracellular

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27
Q

3 types of extracellular

A

Interstitial
Intravascular
Transcellular

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28
Q

25%, found in between cells

A

Interstitial

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29
Q

5%, found inside the blood vessels and lymphatic vessels

A

Intravascular

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30
Q

1-2%, found inside body cavities like pleura, peritoneum, CSF

A

Transcellular

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31
Q

1-2%, found inside body cavities like ___,__,___

A

pleura, peritoneum, CSF

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32
Q

3 INTRAVENOUS SOLUTIONS

A

Crystalloids, Colloids, Blood products

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33
Q

Large protein molecules

A

Colloids

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34
Q

Can’t cross capillary membrane

A

Colloids

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35
Q

Draw fluid from interstitial and intracellular compartments into vascular compartment.

A

Colloids

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36
Q

Work well in reducing edema while expanding vascular compartment

A

Colloids

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37
Q
  • Too costly
  • Difficult to store
A

Colloids

38
Q

Never used as first solution

A

Albumin, steroids

39
Q

Contain electrolytes

A

CRYSTALLOIDS

40
Q

Move across capillary membranes

A

Crystalloids

41
Q

A solutions’ salt balance compared to plasma

A

TONICITY

42
Q

Around 300 mOsm/L

A

Tonicity

43
Q

3 Tonicity

A

Isotonic
Hypotonic
Hypertonic solution

44
Q

Cells normal shape, no loss, or gain of water

A

Isotonic

45
Q

cells lose water and shrink

A

hypertonic solution

46
Q

cells swell rapidly as water rushes to the,

A

Hypotonic solution

47
Q

has a lower concentration of solutes than another solution.

A

A hypotonic solution

48
Q

In biology, a solution outside of a cell is called _____

A

hypotonic

49
Q

_______ is a particular type of solution that has a greater concentration of solutes on the outside of a cell when compared with the inside of a cell.

A

A hypertonic solution

50
Q

refers to the state when two solutions have equal concentration of solutes across a semipermeable membrane.

A

An isotonic solution

51
Q

This state allows for the free movement of water without the dilution of solutes on either side and keeps cells functioning properly.

A

Isotonic solution

52
Q

4 hypertonic solution

A

0.45% Nacl
0.33% Nacl
0.2% NaCl
2.5% Dextrose in water

53
Q

Fo water replacement, without increase of osmotic pressure or serum sodium levels

A

0.45% NaCl

54
Q

Used to treat cellular dehydration and establish renal function

A

0.33% Na Cl

55
Q

Do not administer to pt at risk increase ICP or thirs space fluid shift

A

0.45% Nacl
0.33% Nacl

56
Q

Never give hypotonic solutions to pt whi are at risk with ICP because it may exacerbate _____

A

cerebral edema

57
Q

Do not use hypotonic solution to pts with liver disease, trauma, or burns due to

A

potential depletion of intravascular fluid volume

58
Q

Do not administer in contraindicated conditions Risk for increased intracranial pressure (IICP).

A

hypotonic solution

59
Q

Monitor for manifestations of fluid volume deficit

A

hypotonic soltn

60
Q

3 Isotonic solution

A

0.9% NaCl
Lactated Ringers
D5W

61
Q

Restores sodium chloride deficit an extracellular volume

A

0.9% NaCl

62
Q

resembles normal composition blood serum and plasma

A

Lactated Ringers

63
Q

Promotes rehydration and elimination

A

D5W

64
Q

Monitor manifestations of continued hypovolemia

A

isotonic

65
Q

(isotonic) Elevate the head of the bed at______

A

35 to 45 degrees

66
Q

3 Hypertonic Solutions

A

5% dextrose in Normal Saline
5% dextrose in 0.45% NaCl
5% dextrose in LR

67
Q

For fluid replacement of sodium, chloride, and calories

A

5% dextrose in Normal Saline

68
Q

For daily maintenance of body fluid and nutrition

A

5% dextrose in 0.45% NaCl

69
Q

mimics electrolyte concentration of blood

A

5% dextrose in LR

70
Q

for severe hyponatremia

A

3% Nacl

71
Q

may benefit from an infusion of hypertonic sodium chloride

A

cerebral edema

72
Q

replaces sodium, chloride, and some calories

A

5% dextrose in Normal Saline

73
Q

________ no movement initially

A

Isotonic

74
Q

_________ attracts water

A

Hypertonic

75
Q

____________ gives up water

A

Hypotonic

76
Q

2 IV accdg to purpose

A

NUTRIENT SOLUTION
Electrolyte Solution

77
Q

Contain some form of CHO (dextrose or glucose) and water

A

Nutrient solution

78
Q

(nutrient solution) Useful in preventing ____________ but do not provide sufficient calories to provide wound healing, weight gain or normal growth in children

A

dehydration and ketosis

79
Q
  • Contain varying anions and cations
A

Electrolyte Solution

80
Q

5 Veins of the hands

A

Digital dorsal veins
Dorsal metacarpal veins
Dorsal venous network
Cephalic
Basilic

81
Q

5 VEINS OF FOREARMS

A

Cephalic
Median cubital
Accessory cephalic
Basilic
Median antebrachial

82
Q

areas of flexion

A

antecubital fossa

83
Q

Insertion site is edematous, cold to touch, blanched and painful

A

infiltration

84
Q

Insertion site is edematous, warm to touch, red and painful.

A

Phlebitis

85
Q
  • Same as for phlebitis
  • Possible discharge at the site
  • Possible fever
A

Infection

86
Q
  • Decrease blood pressure
  • Tachycardia
  • Loss of consciousness
  • Cyanosis
A

Air embolism

87
Q

o Position client on left side with head down

A

Air embolism

88
Q

allergic reactions (3 minor reactions)

A
  • Rashes, redness and itching
89
Q

Allergic reactions (5 major reactions)

A

Coughing, dyspnea, swollen tongue, cyanosis and loss of consciousness

90
Q

Dyspnea, cough, cyanosis, crackles in pulmonary edema.
Other findings are ascites, weight gain and edema.

A

Circulatory Overload

NCM - Ma'am Lorna (2 decks)

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