Week 1

Question 0

Definitions of Intracellular

Answer 0

Inside cell

Question 1

What are the 3 reasons on why pt have IV

Answer 1

Achieve or maintain fluids or electrolytes
Route for providing medication
Replace blood or blood products

Question 2

Definition of Intra vascular

Answer 2

Inside vessel

Question 3

Examples of Crystalloids are

Answer 3

Normal saline
D5W
Lactated ringers

Question 4

Crystalloids are made of what kind of solutions

Answer 4

Dissolved water
Dextrose 
Electrolytes 
Sugar
Or a combination of these

Question 5

Examples of colloids non synthetic

Answer 5

Albumin or plasmabumin

Protein

Question 6

Colloids contain what kind of solutions

And they are

Answer 6

Macromolecules
Electrolytes

Volume expanders

Question 7

Examples of colloids synthetic

And they are

Answer 7

Hespan or dextran

Volume expander (shock used)

Question 8

Colloids are used for people who have what

Albuninar

Answer 8

Tramatic blood lost

Question 9

What is the normal concentration of electrolytes in the body

Answer 9

285 mEq/ liter

Question 10

Isotonic was how much concentration

Answer 10

The same concentration of electrolytes as body fluids

Question 11

How much does concentration does hypertonic have

Answer 11

Greater than 300 mEq/liter

Question 12

How much concentration does hypotonic have

Answer 12

Less that 280 mEq/liter

Question 13

What does h20 do with hypertonic

Answer 13

Goes out of the cell

Question 14

What does isotonic do with h2o

Answer 14

It circulates in and out of the cell

Question 15

What does hypotonic do with h20

Answer 15

It absorbs h20 into the cell

Question 16

What kind of Iv will they give in surgery

Answer 16

Lactated ringers

Question 17

What kind of IV is for a trauma pt and or dehydration

Answer 17

Normal saline

Question 18

What kind of salines are associated with isotonic medium

Answer 18

Ssw
Normal saline
Lactated ringers 0.9

Question 19

What kind of saline is associated with hypertonic medium

Answer 19

D10w
D5LR
D5.45
D5.95

Question 20

What kind of saline is associated with hypotonic medium

Answer 20

0.45 saline

Free water

Question 21

What is so special about d5w

Answer 21

It’s isotonic in the bag
It then quickly becomes hypotonic once metabolized in the body
Which means what’s left is free water
What makes it free water is that the cells quickly absorb the sugar

Question 22

Micro drip set IV set

Answer 22

60 drops/mL

Question 23

Macro drip IV set

Answer 23

10, 12, 15, 18 ,20

Question 24

Central Line insertion

Answer 24

``` Used for large amounts of fluid Pt who need IV for more than 7 days Need large bore acces Frequent blood drawn Pt who receive vesicant medication. (Chemo) Who need supplemental nutriention (TPN) ```

Question 25

Reasons for alternative access devices

Answer 25

Vesicant med, nutrition, long term need, high volume of fluids, multiple meds require ports, frequent blood drawn

Question 26

PICC catheter

Answer 26

Longer catheter | Goes into right arteria of heart

Question 27

Midline catheter

Answer 27

Shorter cath | Stops at about the arm pit

Question 28

Preparing for a central line

Answer 28

``` IV antibiotic 30-60 min prior Alcohol scrubs Chlorhex scrub Surgical draping Surgical dress Fans off and windows closed Pt and asst wear mask ```

Question 29

Central line insertion

Answer 29

Lines get flushed prior to insertion (physician) Placed In the trendelenburg position ( feet right up and head down) ( prevents air embolism) and asked to perform vassal a maneuver Assures placement by blood draw. PN May or may not change central lines (policy)

Question 30

Central line monitoring

Answer 30

Indicators of extravastin, possible infection, patency, line is secure, line is clamp if not in use

Question 31

Blood transfusion and IV site

Answer 31

Require separate consent specific to blood transfusion, Central line, peripheral IV of at least 20 gauge (smallest you can go) or bigger

Question 32

Blood products Packed cells

Answer 32

Given for anemia (hemoglobin, hematocrit) | Pale skin , pt report blood loss, confusion, dizziness

Question 33

Blood products fresh frozen plasma

Answer 33

Has platletes, used to replenish and clotting factors

Question 34

Monitor blood infusion | Pt s/s

Answer 34

Baseline vitals, temp(important) q5 min x15 times Pt says feeling funny, chills, back pain, SOB, rash, n/v, tachycardia, blood in urine, fever Usually reaction occurs within the first 5 min and takes 2 hours to infuse. If reaction does occurs keep IV tubing and saline solution