Med Administration Flashcards
(24 cards)
What to document during medication administration
Dose
Med
Route
Rate
Time
Who
Response
How to label syringes
Name, concentration, starting amount
How is an aseptic technique accomplished?
Sterilization of equipment, antiseptics, disinfectants
What is required for a Sterile technique?
Destruction of all living organisms using heat, gas, or chemicals
For a sterile field to exists what need to happen?
Sterile sleeves or gown
Sterile gloves
Sterile drapes around procedure area
Are disinfectants safe on living tissue?
No they are toxic
What does dehydration cause in regards to fluid in the body?
Shift to vascular space from interstitial fluid and from intracellular to extracellular compartments
What does overhydration cause in regards to fluid in the body?
From vascular space to interstitial fluid and into intracellular space
S&S of overhydration
Edema
Puffy eyelids
Moist crackles
Sodium concentration in body cells
0.9%
What are crystalloid solutions?
Dissolved crystals in water
Isotonic crystalloid for fluid replacement after blood loss
3:1 fluid to blood, after 1 hr 2/3 will leave vascular space
What to titrate fluid to with crystalloids
90 mmHG systolic
What are colloid solutions
Water with proteins
What do colloids do?
-Cause fluid to enter vascular space due to high osmolarity
-good for edema(pulmonary or cerebral)
When are hypertonic solutions used?
Brains
When not to use hypertonic solutions?
DKA and risk of cellular dehydration
Tell me about the osmolarity of D5W
Isotnic in the bag
Hypotonic in the body
When is D5W used?
In med infusions such as dopamine or amiodarone
When is Lr used?
-Used for significant blood loss
What is lactate?
-Metabolizes in the liver to form bicarbonate
When not to use LR?
Bad liver
Nitroglycerin
Propranol
Methylprednisone
Norepinephrine
Nitroprusside
blood transfusions
What type of crystalloid can be used for DKA?
Hypotonic
What does a hypotonic solution do?
-Pulls fluid from vascular compartment to the interstitial fluid
-Can cause sudden shift from intravscular space to cells
