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25 Cards in this Set
- Front
- Back
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BOLDED: What type of IV fluids are recommended for MAINTENANCE for infants? young children? school-aged children? Renal pts that are sodium wasting?
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D10 with 0.2 or 0.3 NaCl,
D5 with 0.2 or 0.3 NaCl, D5 with 0.45 NaCl, D5 with 0.45 NaCl |
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BOLDED: What type of IV solution is used to flush a peripheral IV ?
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0.9 NSS
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BOLDED: What type of soulution is used to REPLACE fluid loss ?
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0.9NSS
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What are possible complications of Central-line infusions ?
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BLEEDING, infection, fluid overload, hypothermia, embolism, etc...
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Since TPN may contain higher glucose, vitamins, and minerals, what lab values are indicated with its infusion?
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Blood glucose,
Electrolytes, Liver function |
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TPN is always ? when administered.
Lipids are not ? when administered. With initial infusion of TPN a ? level is obtained. When BG is not ordered a urine ? should be performed every shift. |
filtered,
filtered, Blood Glucose, dipstick |
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Who is responsible for inserting and discountinuing Mediports, Infusaports, Port-A-Caths and PICC Lines?
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Physician or specially trained professionals e.g. IV team
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What are nursing considerations for safety related to PICC lines, they require careful handling b/c they are not ? in place and we should never check ? on the arm with the PICC.
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sutured,
BP |
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Which supplies do you need if the physician request a culture from the tip of the catheter?
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sterile suture kit,
sterile collection cup |
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With any central line infusion(and even peripheral IVs) why must the stopcocks be kept in the off position when ot in use and why must all connection sites be securely tightened?
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To prevent bleeding out by accidental blood loss.
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BOLDED: Name 3 types of dehydration ?,?,?
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Isonatremic,
Hyponatremic, Hypernatremic |
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What happens to serum sodium levels when fluid is lost in Isotonic(Isonatremic) dehydration?
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the remain WNL 135-145
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What happens to the serum sodium levels when fluid is lost in Hypotonic(Hyponatremic) dehydration?
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the level is reduced <135
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What are possible causes of hyptonic dehydration ?,?,?
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Mixing formula with too much H2O,
Drug abuse, Marathon running |
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A prudent nurse will always assess how parents are mixing infant formula to ensure that the infant formula is being prepared accurately. If parents are mixing infant formula incorrectly, by diluting down the formula with water, whyh tpe of dehydratio does this put the infant at risk for ?
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Hypotonic(Hyponatremic) Na+<135
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BOLDED: fluid replacement for Isotonic(Isonatremic) dehydration is done by ? replacement. Fluids are generally replaced over a ? hr period.
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RAPID,
24hr |
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Fluid replacement for Hypertonic(Hypernatremic) Na+>145mg/dl is via ? replacement. Fluid replacement occurs over several ? to prevent the risk of ?
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SLOW,
days(48hrs), cerebral edema |
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BOLDED:Early signs of mild to moderate dehydration are? What happens to the heart rate?
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HR increases,
Mild= 3-5% wgt loss, fluid volume loss of <5ml/kg, Urine output is slightly decreased Moderat 6-10% wgt loss, fluid volume loss of 50-100ml/kg, Urine output is decreased |
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BOLDED: When assessing for dehydration, what should parents be taught about assessing for EARLY signs of dehydration?
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decreased urine output, decreased wgt,
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What types of oral replacement solutions(ORS) are used to treat mild to moderate dehydration in Infants? children?
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Infants= Pedialyte, Rehydralyte, Infalyte
Children=Gatorade, Watered down apple juice |
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What are not good choices for oral replacement solutions(ORS) ?,?,?,?
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Water,
Undiluted fruit juice, Soup, Broths |
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With regard to breast feeding, what are the recommendations for breastfeeding?
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Keep Breastfeeding the infant
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Why should sugary drinks such as apple juice, sprots beverages and colsa be avoided in pts with diarrhea?
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The increase diarrhea due to high osmolality which causes water to enter intestines increasing diarrhea
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In pts experienceing diarrhea why should fluids be given in small amts and at room temps?
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In order to keep GI upset at a minimum. Room temp fluids do not increase peristalsis like cold fluids do.
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Pt centered teaching fo moderate to severe deyhdration includes the following signs and symptoms- decreased ? output, >?% wgt loss, Increased ?, increased ?, sunken ?and?, decreased skin ?, dry ? membranes, decreased cap ?, and the child may be listless.
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urine, >10%wgt loss, increased BP, Increased HR, fontanels and orbits, turgor, mucus, refill
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