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IV Therapy Basics
Test III, N101
Question | Answer |
---|---|
IVs are started in | Veins |
IVs are not started in | Arteries |
A(n) _______ has: Dark red blood No pulse Superficial Semilunar valves | Vein |
A(n) _______ has: Palpable Pulsations Bright Red Blood No semilunar valves Deeper location Thicker walls | Artery |
Digital Basilic Cephalic Dorsal venous arch Metacarpal | Hand Vein Locations |
Hand Veins | Superficial Veins |
Usually last choice for IV | Feet |
Arms with shunts, fragrant, and fistulas | Do not start IV |
Soft, resilient, spongy | Suitable veins for IV |
Avoid starting an Iv in veins that feel | Hard |
If IV therapy will be longer than a week, _________ should be considered. | Central IV Line |
LA1, RA1 | Hand |
LA2, RA2 | Forearm |
LA3, RA3 | Upper Arm |
LAC, RAC | Antecubital |
LG, RF | Foot |
To prevent/treat fluid volume deficits & fluid/electrolyte imbalances | Purpose of IV Replacement Therapy |
Initiate, monitor & discontinue IV therapy based on MD orders | Nurse's role in IV Therapy |
ADH Aldosterone ANP BNP | Hormones that regulate body's water |
Post lumpectomy, Post-mastectomy | Red Band |
Start Date & Time IV Site Gauge of Infuser Type of Solution & rate of infusion | What to Document |
Our bodies are | 50 - 60% water |
Body fluids depend on | Age |
2/3 of body fluid is in the cells | Intracellular |
1/3 of body fluid is outside of cells | Extracellular |
Fluids surrounding the cells | Interstitial |
Fluids inside of blood vessels | Intravascular |
Substances able to separate into simpler electrically charged molecules (ions) when dissolved in solution | Electrolystes |
Molecule carrying electrical charge | Ion |
Positive charged ion | Cation |
Negative charged ion | Anion |
Balanced Electrolytes = | Health |
Prolonged Electrolyte Imbalances = | Illness or Disease |
Acid-based buffer, regulated by the kidneys | Bicarbonate |
Transmits electrical impulses (1 of Most important) | Potassium |
Nerve impulse transmission & blood clotting | Calcium |
Helps maintain acid-base balance (Most Common) | Phosphate |
CHO metabolism & electrical conduction (NS) | Magnesium |
Primary balancer of body fluid Regulates body of circulating fluids | Sodium |
Acts with sodium to maintain the Osmotic pressure of the blood | Chloride |
Liquids that hold a substance in a solution | Solvent |
_________ is the body's primary solvent | Water |
Substances that are dissolved in a solution -Electrolytes -Non-electrolytes | Solutes |
Lesser solute concentration --> greater solute | Osmosis |
Greater solute concentration --> lesser solute | Diffusion |
Higher pressure --> Lower pressure (not concentration) | Filtration |
ATP required to move from lesser concentration --> higher concentration | Active Transport |
Fluid volume deficit | Hypovolemia |
Fluid volume excess | Hypervolemia |
Fluid moves from intravascular --> interstitial. Edema | Third Spacing |
Normal Fluid distribution in EFC & IFC Compartments | 1st Space Shifting |
Excess accumulation of interstitial fluid | 2nd Space Shifting |
Fluid accumulation in areas that normally have little or no fluids building up | 3rd Space Shifting |
Anasarca | Total Body Edema |
Blood Plasma Expanders | Colloids |
Isotonic Hypotonic Hypertonic | Crystalloids |