Flashcards in sem 2 exam 2 Deck (222)
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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
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Loss of more water than sodium
Hypertonic imbalance
Water deficit
ECV Deficit + Hypernatremia
Gastroenteritis (Severe N&V)
clinical dehydration
Hypovolemia
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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
