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IV, TPN, Blood MS 1
IV + Blood MS 1
| Question | Answer |
|---|---|
| Isotonic solution examples | NSS, LR, D5LR, D5W |
| Isotonic solution education | Same osmolality as body fluids, does not enter cells, used to treat hypovolemia, shock, DKA, metabolic alkalosis, NA+ deficit, burns, GI losses, dehydration |
| Normal Saline examples | NS, 0.9% saline, NSS |
| Normal saline education | Increases intravascular fluid, used for hydration, fluid replacement. (Only solution used with blood) |
| Hypotonic examples | 0.45% NaCl, 0.33% NaCL, 0.225% NaCl |
| Rh neg | cannot accept any positive |
| Type A | Receive A and O |
| Type B | Receive B and O |
| Type AB | Receive A, B and O |
| Type O | Receive O |
| Transfusion reaction actions | Stop transfusion, maintain IV w/ normal saline (don’t flush!), notify HCP, monitor vitals and urine output, save blood bag, collect blood and urine specimens, document |
| Blood admin responsibilities | Meds are never added or piggybacked, cannot exceed 4 hours, dual checking system prior to admin, stay for first 15mins or 50mL, take vital prior and after first 15mins |
| Hypertonic examples | 3% NS, 5% NS, 10% dextrose in water, 20% dextrose in water, 50% dextrose in water |
| Hypertonic education | Shifts fluid from ECF to ICF, admin slowly, (used for diabetic ketoacidosis, hyperosmolar hyperglycemia, severe hyponatremia or cerebral edema), causes cells to shrink, admin via central line |
| Colloid uses | Inability to tolerate large fluid volumes, malnourished, shock, pancreatitis and peritonitis |
| Colloid education | Remain in intravascular spaces, shifts fluid into the intravascular space |
| TPN | Administration of nutrients via bloodstream, hypertonic IV bonus solution, central line (triple lumen catheter or PICC) |
| TPN indications | Diarrhea and vomiting, complicated surgery/trauma, GI obstruction, GI anomalies and fistulae, severe anorexia, severe malabsorption, short bowel syndrome , SEVERE BURNS |
| TPN nursing considerations | Glucose checks 4-6 hours, NEVER abruptly stop TPN, vitals 4-8 hours, daily weights, tubing changed 24 hours, do not use line for IV bonus solutions, keep dextrose 10% in water at bedside |
| TPN complications | Hyperglycemia, air embolism, fluid imbalance, infection, clotted or displaced catheter, sepsis, pneumothorax |
| Air embolism position | Left lateral trendelenburg, 100% oxygen |
| Pulmonary embolism | High fowler’s, 100% oxygen |
Created by:
Haydenmeh
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