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IV Therapy Fill In The Blanks

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Term: IV is used for:Description: fluid volume , fluid volume replacement, med administration, blood administration, TPN, emergency line,
Term: Advantages of IV Description: faster , rapid distribution, emergency access, unconscious patient
Term: IV and changesDescription: PICC-every 6 weeks, IV inserted by w/in 24 hours, Peripheral site every 72 hours, Blood and TPN every 24 hours, CVC every 48-72 hours or 3xper week.
Term: Nursing responsibilities for IV Description: assess site whenever in room, document at least every 8 hours, site CDI (clean, dry, intact), sterile , changine tubing and solution, awareness of complications, awareness of fluid types, 5 rights
Term: Complications of IV Description: Pain and irritation, infiltration and exravasion, occlusion, loss of , phlebitis, fluid overload
Term: Description: seepage of IV into tissue when IV cath penetrates vein
Term: Extravasion and Infiltration Description: swelling, pain, cool to touch, decreased flow, wet , no back flow.
Term: Causes of Infiltration and Description: catheter vein, poor taping of site, over manipulation
Term: Intervention for and ExtravasionDescription: Remove IV, cool
Term: Occlusion Description: kinked tubing, patient on tubing, infusion too slow
Term: assessmentDescription: IV dripping
Term: interventionDescription: milk IV, , irrigate (if no resistance OK, if resistance may be clot>
Term: PreventionDescription: don't let IV run dry, flush with 1-5 cc of NSS and before and after any intermittent IV therapy.
Term: CausesDescription: bacterial, , mechanical
Term: Phelebitis Description: IV, cool compress
Term: Phlebitis Description: erythemia, pain or , warmth, edema, cordlike vein.
Term: Phlebitis possible :Description: IV left in too long, fluids, clot at tip of cannula, cath too large for vein
Term: Description: clear fluids, dextrose or , can be Iso, Hypo or Hyper tonic
Term: ColloidsDescription: , yellowish, used to raise osmotic pressure, Dextran is clearish
Term: IVDescription: same tonicity as body 0.9%
Term: Reasons to give an IVDescription: Hypotension (increases BP),
Term: Complications of Isotonic Description: fluid
Term: Examples of Isotonic Description: 0,9% NSS, D5W(isotonic in bottle, hypotonic in body), Lactated
Term: Reasons to give a Hypotonic Description: Will cause fluid to shift from intravascular to space.
Term: Indications for Hypotonic Description:
Term: SolutionsDescription: .45% chloride, 5%dextrose water (becomes hypotonic in body)
Term: Complications of solutionDescription: May cause
Term: Reasons to give a IVDescription: low bp, slight edema but not w/CHF, pulls fluid from intracellular space to intravascular
Term: Hypertonic IV Description: Not as strong as Albumin, 10% Dextrose in Water D10W, 5% saline, D5 Ringers Lactate
Term: Complications of Hypertonic Description: more in bloodstream can cause circulatory overload.
Term: PCA for:Description: Patient Analgesia
Term: 3 settings of Description: drug dosage, period, basal rate
Term: Venous Therapy IndicationsDescription: inadequate vascular access, complex treatment , hyperosmolar infustions ie parenteral nutrition, irritating or vesicant druges, (ie. dopamine cancause necrosis) rapid absorption, long term therapy.
Term: Contraindications for venous therapyDescription: altered skin integrity, anomalies of vasculature, cancer in area, coagulopathies, fractured clavicle, septicemia, radiation to insertion site
Term: Common insertion pathways for Central TherapyDescription: subclavian, jugular, femoral vein, cephalic vein(is but the line runs to central area)
Term: and Complications of Central Venous TherapyDescription: Air embolism, pneumothorax, sepsis,chest pain, confusion, hypotension, dyspnea, pallor, tachycardia, tachypnea,
Term: Components of Intravenous Nutritional Description: acids, carbohydrates, electrolytes, minerals, vitamins, lipids, other (ie insulin)
Term: in Intravenous Nutritional SupportDescription: lipids are administered via Piggy back. (white, thin )
Term: Cautions for IV nutritional Description: not refrigerated, observe for spoilage (fat on top, discoloration), expiration dateNo filter. , must be on IV pump, glucose monitored, gradual weaning. Daily weights,
Term: Complications for IV supportDescription: hypoglycemia, hyperglycemia, , infection
Term: Reasons to give IV Nutritional Description: surgery, chronic weight loss, bowel rest, coma, excess nitrogen loss, hepatic or renal failure, malnutrition, low serum albumin, hypermetabolic states
 
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