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22 Cards in this Set
- Front
- Back
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WHAT ARE THE SELECTION OF IV SITES BASED ON
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patient - age, motility, clinical status
therapeutic regimen - duration, infusion, rates/volumes drug characteristics - compatibility |
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what are the venous access sites for peripheral
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metacarpal veins, cephalic, basilic
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what are the venous access sites for central
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subclavin, sometimes internal and external jugular vein, femoral vein
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what are needles and cathaters characterised by
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length, gauge and lumen
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needles are for what type of access
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short term peripheral access
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catheters are for what type of access
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short or long term peripheral or central access
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what are the advantages of short peripheral catheters
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ease of insertion; easy visual monitoring
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what are the disadvantages of short peripheral catheters
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short dwell time; high rate of extravastion and phlebitis
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what is dwell time
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the amount of time it stays in vein
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what are teh advantages of midline peripheral catheters
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ease of insertion; intermediate dwell time
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what are the disadvantages of midline peripheral catheters
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high maintenance (heparin flush)
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what are the advantages of peripherally inserted central catheters
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insertion by nurse
extended dwell time home care good for patients with chest injury and getting radiation treatment |
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what are the disadvantages of peripherally inserted central catheters
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small lumen size
inability to obtain blood samples |
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what are the adv of non-tunneled central venous catheters
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nonsurgical insertion, multiple lumens
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what are the disadv of non-tunneled central venous catheters
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high risk infection, acute care settings, negative body image, high maintenance
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what are the adv of tunneled central venous catheters
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extended dwell time, multiple lumens, home care
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what are the disadv of tunneled central venous catheters
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surgical placement, high maintenance, negative body image
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what are the advantaged of implanted ports
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extended dwell time, minimal maintenance, improved patient life style, home care, low risk of infection
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what are the disadvantages of implanted ports
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high cost, surgical insertion, discomfort during access
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what are the adv of pumps
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reduced pharmacy time
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what are the disadv of pumps
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wastes (can't give remaining amount to another patient), cost, inadvertent administration
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what are the Rx roles in infusion therapy
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monituring drug therapy
help prevent infusion related complications (extavation, thrombus/thrombophlebitis) and catheter related infections evaluate drug therapy (physical and therapeutic compatibility) education |
