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59 Cards in this Set
- Front
- Back
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The IV cannula has to be changed how often?
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Every 48-72 hours
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Someone who has severe diarrhea and vomiting. They're hooked up to an IV for what purpose?
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replenishing fluids
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A PICC line or midline catheter should be inserted if therapy is to last longer than ??
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14 days
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An infusion of 3000 ml of 5 percent dextrose in water has how many calories?
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510
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What is the advantage of adding a second line piggyback?
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The patient needs only one IV site
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Using a plastic IV cannula rather than a metal needle has the advantage of??
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Less chance of infiltration
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What are the most common complications of IV therapy?
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Swelling and coolness of the site
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Why is the IV cannula changed every 72 hours?
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To prevent Phlebitis from occuring
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What can be used to dialate veins?
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Warm soaks
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IVF changed every
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24 hours
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IV tubing changed every
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24-48 hours
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IV sites changed every:
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72 hours
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Check IV sites how often?
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1X hourly
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Phlebitis symptoms:
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RED WARM PAINFUL Red streak along vein, vein feels cordlike
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Check for blood return by ??
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Lowering bag
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S/S of infiltration?
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SIte feels cool and puffy
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Blood consent good for how long?
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72 hours
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Catheter size?
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18-19
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IF pt has a bad reaction to blood transfusion:
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Shut blood off and run saline (Notify MD)
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What must you do with a Y set?
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Run NSS first to wet the screen
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When first setting up IV watch for
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Chills, temp rash - monitor every 5 mins for 20 mins
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Blood can be given for a min of ___ and a max of ____
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2 hours and 4 hours
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What can be hung with blood?
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NSS
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What do you need to know about K+
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Always diluted in fluid and never given as a bolus because it can cause cardiac arrhythmia and arrest
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A Butterfly needle is used when?
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Very short term therapy
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ON a PRN saline or heparin lock, how often do you change the tubing?
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Every 24 hours
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Height of infusion container
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36 inches above the heart
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The IV pole has to be how far above the site?
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18 inches
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What is Red Man syndrome?
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Caused by fast Vancomycin infiltration
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What is the minimum in an IV bag before you have to change it?
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50 ccs
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What is speed shock?
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Flushed face, severe headache, irregular pulse decreased BP
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What is thrombophlebitis
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Blood clot at end of catheter - site red, tender, warm IV infusion sluggish
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IF you have phlebitis, what will you see?
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Pus, hard vein, red swollen tender skin, blood return
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LPNS can not do what?
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Hang blood
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What is a PICC?
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Peripherally inserted central catheters.
Do not take the pressure on an arm that has a picc or ML catheter |
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How long can an infusion port be left in?
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5 years
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Which bag is higher? Primary or secondary?
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Secondary
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How often should the site be assessed?
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Every shift
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Filters - what is used for most solutions?
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0.22 micron
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Filters - what is used for lipids?
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1.2 micron filter
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Where is a controlled volume set used?
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Pediatrics
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What is an advantage of piggyback?
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When the smaller bag has been infused, the primary starts again
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What are regular drops
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10-20 gtt/ml
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What are macrodrops?
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10 gtt/ml
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What are microdrops?
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60 gtt per ml
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After hanging IV meds, check for allergic reactions when?
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15-30 mins
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What tubing goes into the patient?
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Primary tubing
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How often do you check the infusion pump?
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Every 1-2 hours
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The average adult needs how much fluid?
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1500-2000 ml
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What is a hypotonic solution?
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0.45 saline
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What is given for cerebral edema?
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Mannitol
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What is the nurses vein?
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Cephalic vein
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What is a bolus
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Concentrated dose of IV meds
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Do you change the IV cannula every 24 hours, true or false?
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False
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1000 ML of 5 percent dextrose is how many calories?
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200
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Is 5 percent dextrose in water an electrolyte?
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No
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What do you do if there's an air embolus?
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Trendelenburg position, place on left side check for leak, notify MD
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What do you do if there's infiltration?
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Remove IV catheter and restart IV in other extremity
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How much air can kill a person?
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50 - 80 ccs (10-15 for an elderly person)
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