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IV Fluids

Test#1

QuestionAnswer
Buretrol/solu-set holds 150ml of fluids for extra safety*as extra safety never fill chamber with more than 2hrs of fluids*calibrated as microdrips of 60gtt/ml
Piggyback used to hang intermittent meds
Microbore tubing works only on a syringe pump-usually holds 1-2 mls
Syringe pump delivers very small amounts very accurately
Circulatory overload s/s-bounding pulse, venous distention, dyspnea, pulmonary rales*notify MD, IV to KVO, elevate HOB
Local Infiltration Slowing or cessation of flow, local pain, tissue at site is cold, pale, swollen and hard*stop infusion, restart IV, apply moist heat, elevate site
Thrombophlebitis Pain, redness, warmth, edema along vein*same as infiltration, cold compress initially
Pyrogenic Reaction Fever, chills, malaise, N/V 30min after infusion started, hypotension if sever*switch solution & seet KVO, notify MD, monitor VS, save fluid for culture
Anaphylactic Reaction (protein products) Dyspnea, wheezing, tightness of chest, itching, hypotension*switch to non-protein & set at KVO, notify MD, monitor VS
What to document when hanging fluids -when a new bag is hung-Same as other IV meds (may be in different MAR)-IV assessment and care-d/c of reseal-removal of the IV catheter & that catheter was removed intact
Administering IV meds via syringe pump prime and flush with normal saline
When to start using dorsogluteal muscle for IM injections after they have been walking for a year
When to start using deltoin muscle for IM injections school age
Ear drops for <3yrs down and back
Ear drops for >3yrs up and back
Created by: jas067
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