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1

IV where

Used for:
Long Term Therapy
All IV Therapies
Blood Draws
Bad peripheral veins
Large fluid volumes
Total parenteral nutrition (only IV nutritional supplement)

Central Lines

2

Potassium (Normal Value: )

3.5-5.0 mEq

3

Clinical Manifestations :
- Anorexia, N/V
- Weakness
- Lethargy
- Confusion, headache
- Muscle cramps/twitching
- Seizures
- Coma

Hyponatremia

4

Type of Anesthesia where

Administration of drugs by inhalation, intravenous, rectal, or oral route

a patient loses all sensation, consciousness, and reflexes, including gag and blink reflexes.

involves major procedures with extensive tissue manipulation

General

5

Bowel Diversion

Injuries
Cancer
Perforated Diverticulitis
Fistulas

Colostomy

6

same concentraion as plasma

action: fluid stays in the vessels, no gain/ loss of fluids at the cellular level

isotonic

7

Classic Signs
Erythema, warmth, edema, drainage, and discomfort

IV site infection

8

Pooling of blood into subcutaneous tissues around the venipuncture site.

Hematoma

9

Type of Cleansing Enema that

Irritate mucosa
Distends the colon

Soap suds

10

Phase of General Anesthesia

—starts when patient emerges from anesthesia and is ready to leave operating room

Emergence

11

Nurses signature on informed consent indicates what 2 things

1. Patient signed without coercion
2. Patient was alert & aware (competent)

12

Central Lines _____ side prefereed

Left

13

How well are the lungs excreting CO2?

PaCO2

14

Catheter “broke” off an tip entered the circulatory system

Rare but deadly.

Pain at site, decreased BP, weak rapid pulse, cyanosis

Severed Catheter

15

2 Metabolic Alkalosis causes

Increase of bicarbonate
Loss of metabolic acid

16

Restores function lost or reduced as result of congenital anomalies

Constructive

17


No BM in 3 days- act on/before day 2

Constipation-

18

How well are the kidneys excreting metabolic acids? High: the blood has too few metabolic acids. Low: too many metabolic acids.

HCO3

19

Type of Medicated Enema that

Not for stool, but to remove potassium rapidly!

Kayexalate

20

Post-Op Stoma Care requires

Low-______ diet first few weeks

fiber

21

potassium Less than 3.5 mEq

Hypokalemia

22

Clinical Presentation:
Seizures
Headache
Dysrhythmias

Metabolic Alkalosis

23

: constipation, too much water reabsorbed, dry stools

Delayed transit times

24

Pain at access site with erythema or edema


is a grade __ on the Phlebitis Scale

2

25

type of IV Solution that

Uses
Intracellular/cellular hydration

Fluid management for a patient who is both volume-depleted and hyperosmolar

Hypotonic

26

Loss of more water than sodium
Hypertonic imbalance
Water deficit


ECV Deficit + Hypernatremia
Gastroenteritis (Severe N&V)

clinical dehydration

Hypovolemia

27

No symptoms

is a grade __ on the Phlebitis Scale

0

28

Clinical Manifestations:
- + Chvostek’s sign
- + Trousseau’s sign
Numbness/tingling
Muscle twitch
Cramping
Hyperactive reflexes
Tetany
Seizures

Hypocalcemia

29

interventions

Restrict Na & H2o
Promote excretion
Strict I&O
Daily weight
Assessment (including vital sign, respiratory and skin)
Raise HOB
Skin care: protect edematous tissue
Monitor labs
Patient teaching

HYPERVOLEMIA

30

Type of Anesthesia where

involves loss of sensation at the desired site by inhibiting peripheral nerve conduction

commonly used in ambulatory surgery

can also be used in addition to general or regional anesthesia

patient experiences a loss in pain and touch sensation and motor and autonomic activities

Local anesthesia