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Cardiac
flash cards
Question | Answer |
---|---|
IV Therapy is used for: | Fluid volume maintenance, Fluid volume replacement, med administration, blood administration, TPN, emergency line, |
Nursing responsibilities for IV sites | assess site (CLEAN, DRY, INTACT) document at least every 8 hours, awareness of Fluid types and complications. |
Complications of IV therapy | ain and irritation, infiltration and extraversion, occlusion, loss of patency, phlebitis. |
Phlebitis Causes | bacterial, chemical, mechanical |
Phlebitis Assessment | erythema, pain or burning, warmth, oedema, cordlike vein. |
Crystalloids | clear fluids, dextrose or saline, can be Iso, Hypo or Hyper tonic |
Colloids | cloudy, yellowish, used to raise osmotic pressure, |
Isotonic IV | same tonicity as body 0.9% NSS |
Reasons to give an Isotonic IV | Hypotension (increases BP), Hypovolemia |
Complications of Isotonic IV | Fluid overload |
Examples of Isotonic Solutions | 0,9% NSS, D5W(isotonic in bottle, hypotonic in body), Lactated Ringers |
Reasons to give a Hypotonic IV | Will cause Fluid to shift from intravascular to intracellular space. |
Indications for Hypotonic IV | dehydration |
Hypotonic Solutions | 45% sodium chloride, 5%dextrose water (becomes hypotonic in body) |
Complications of hypotonic solution | May cause oedema, more fluid in bloodstream can cause circulatory overload. |
Reasons to give a hypertonic IV | low blood pressure, slight oedema but not w/CHF, pulls fluid from intracellular space to intravascular space |