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Flashcards in Unit IV COPY Deck (90)
1

Administration of fluids, blood components and/or medication into a vein

Intravenous

2

Include electrolyte solutions, vitamins, nutrient preparations and commercial blood "fractions" designed to be administered into a vein

Intravenous fluids

3

Solutions containing protein or starch molecules that remain uniformly distributed in fluid (do not dissolve) fail to form. True solution

Colloid

4

Non-colloid (salts), electrolyte solution

Crystalloid

5

The insertion of a needle or catheter into a vein

Vein puncture

6

Extremities, vs. use of central vein

Peripheral IV therapy

7

Catheter inserted into a centrally located vein unusually subclavian or jugular

Central venous catheter or central line (CVC)

8

Entry into the vascular system via the insertion of a catheter into a peripheral vein threaded through to the superior vena cava

Peripherally inserted central catheter (PICC)

9

Surgically placed under skin and accesses vascular system internally

Implanted ports

10

catheters, cannulas, or infustion ports usually disned for long term repeated access to the vasculr system

vascular access device (VAD)

11

by route other than GI into tissue

parenteral

12

nutrionally adequate hypertonic solution, usually given via CVC

total parental nutrition (TPN)

13

vesicant solution is administered into surrounding tissue, vesicants are solutions capable of causing tissue injury or destruction if they escape into surrounding tissue

Extravasation
tissue is destroyed

14

nonvesicant soultion is administered into surrounding tissue

infiltration
tissue is not destroyed

15

symptoms occur 48 hours or more after the Rx was given

delayed extravasation

16

pink

20

17

blue

22

18

what is the main purpose of IV therapy

hydration

19

who can order an IV

MD, PA, NP

20

2/3 of body fluids, has the most protein in it, located in the cells, having protein helps keep fluid in cells

intracellular fluids (ICF)

21

1/3 of bldy fluids, found outside of cell

extracellualr fluids

22

what are the 4 components of extracellualr fluid

intravascular
interstitial
transcellular
lymph

23

plasma space that is in the vessels, 2nd highest protein component

intravascular

24

fluid between cells

interstital

25

ceribral spinal space, GI tract, plural space are all considered what kind of fluid

transcelluar fluid

26

tissue fluid, mostly water but also has albumin, salt, ureia, glucose

lymph

27

movement of water across cell membranes from the less concentrated solution to the more concentrated solution

osmosis

28

body looses water ad electrolytes from the extracellular fluid

fluid volume deficit

29

fluid is colleced in certain areas

third space syndrome

30

fluid loss

hypovolemia

31

body retains water and sodium equally

fluid volume excess

32

increase in fluid volume (blood volume)

hypervolemia

33

intravascular and intersitial (legs & feet)

edema
have decreased protein levels

34

loose water, have excess sodium, water is drawn into the vascular compartment from the interstitial space

dehydration

35

too much water, not enough sodium

overhydration

36

has the same osmotic pressure as the cell, they can incresase extracellular fluid volume

isotonic

37

has a lower osmotic presser than the cell, cause the cell to swell resutling in water intoxication

Hypotonic

38

what is the most common additive

KCl

39

common IV fluids

D5/W
NS
0.9% S
NSS
D5 1/2 S
D5NS
LR

40

macrodrip

10 drops/mL

41

microdrip

60 drops/mL

42

IV tubing is good for ?

96 hours

43

Plain NS fluid is good for?

48 hours

44

what is placed on the lable

pts name
date/time up
date/time down
initials

45

KVO

10 gtts/min

46

normal output per da

1500 mL

47

what is the minimum output per hour

30 mL

48

is you have an incrase BUN, with creatin normal what could your pt have

dehydration

49

increase BUN & creatin

kidney damage

50

IV bags with medication must be changes every

24 hours

51

change IV site every

96 hours

52

what do you assess the IV site for

edema, erythema, drainage, pain pallor

53

flush jelco plug with

3 mL NS

54

IV sites started by paramedics must be changed within

24 hours

55

a local allergic reaction without pain or swelling

flare

56

what do you do with a infiltration or extravastation

stop IV, elevate, cool compress

57

inflammation of vein

phlebitis

58

clot formation with phlebitis

thrombophlebitis

59

result of an invastion of pathogens that are localized in the surrounding tissues

infection

60

what is a sign of phlebitis/thrombophlebitis

heat

61

what is a sign of infection

pus

62

pathogenic microorganism in the blood

septicemia

63

where is septicemia usually found

cental line

64

air inadvertently enters the venous system

air embolism

65

if you suspect an air embolism what should you do

turn pt on left side to trap air in the right atrium

66

occurs when a portio nof the catheter breaks off and flows into the vascular system

catheter embolism

67

results from a rapid introduction of a medicaion into the circulatory system

speed shock

68

decompensation of the circultory system due to excessive volume of fluid

circulatory overload

69

what is a late sign of circulatory overload

cyanosis

70

what is an early sign of circulatory overload

crackles

71

how often should a flush be done

q8hrs

72

dextrose in water contains

H2O, glucose

73

Saline contains

NaCl

74

dextrose in saline contains

glucose, NaCl

75

lactated ringers

NaCl, KCl, CaCl, H2O

76

1 inch

2.54 cm

77

1 liter

1,000 mL

78

1 kg

2.2 lbs

79

1 teaspoon

5 mL

80

1 tablespoon

15mL

81

1 oz

30 mL

82

1gr

60 mg

83

My Dear Cat Loves Xtra Vitamins Intensely


M = 1000, D = 500, C = 100, L = 50, X = 10, V = 5, I = 1

84

1kg

1000g

85

1g

1000mg

86

has a higher osmotic pressure than the cell,may cause to shrink resulting in dyhydration

Hypertonic

87

1ml

15 minim or drops

88

1 Dram

4 ml

89

1gr

60-65 mg

90

total parenteral nutrition

K, Na, Ca, Mg, Cr, vitamins