Iv

Front 1

reasons for iv's

Back 1

medication and nutrients,
blood,chemo, pca, keep vein open for quick access

Front 2

where are peripheral lines

Back 2

arms, legs, scalp for infants

Front 3

where are central lines located

Back 3

subclavian vein.

Front 4

pt must be relaxed for iv or they may experience these

Back 4

fight or flight, spasm of veins blood then shunted from peripheral to vital organs.

Front 5

prior to setting up or bringing in equipment nurse should do what

Back 5

spend time explaining all components of therapy and give pt time to ask questions.

Front 6

if pt refuses.

Back 6

listen, reasure, ask why, explain, report and document

Front 7

when applying torniquet, never do these

Back 7

apply too tight that it obstructs arterial flow or leave on longer then one minute.

Front 8

methods to enhance venous access. (7)

Back 8

gravity, clench fist, friction, percussion, compresses, transillumination, hair removal.

Front 9

special consideratoins for pts who are (4)

Back 9

obese, peripheral edema,
altered skin and vessels,
anticoagulation therapy

Front 10

ask pt if they have allergy to

Back 10

medication, food, latex, iodine, tape

Front 11

high risk includes pts who are (6)

Back 11

women, asthmatics, hx of allergies, latex exposures,allergies to fruit and veggies, especially tropical fruits, those who get intermittent caths.

Front 12

If unsuccessful poke do not

Back 12

re try with same needle.

Front 13

a nurse should only try __ times to do a successful stick

Back 13

2

Front 14

accurate charting of iv is?

Back 14

date time, what vein, gague style of needle, infusate administere

Front 15

how long can you leave in an iv done by ems,

Back 15

change asap and before 48hrs

Front 16

iv caths should be changed every

Back 16

3 days

Front 17

hanging bag of lipid containing solutions (3-1)must be infused within how many hrs

Back 17

24

Front 18

hanging back of lipid emulsions alone must be done in

Back 18

12hrs

Front 19

blood must be infused within

Back 19

4hrs

Front 20

caps on ivs should be changed no more

Back 20

once every 3 days

Front 21

what is homeostasis

Back 21

the physiologic term for the process that contributes to a state of internal constancy

Front 22

primary chemical component of the human body

Back 22

water

Front 23

what is osmolarity

Back 23

osmotic pull or pressure exerted by all particles per unit of solution influenced by qwuanity of dissolved particles that exer an osmotic pull

Front 24

you'd give hopytonic fluids with

Back 24

dialysis or DKA

Front 25

would not give hypotonic fluids with pts that are

Back 25

edemic

Front 26

fluid stays within the intravascular space.no fluid flowing into or out of the intravascular spaces

Back 26

isotonic

Front 27

lower number of molecules then serum so fluid shifts from the intravascular spaces to the interstitial spaces

Back 27

hypotonic

Front 28

this fluid can cause ICP and cardivascular collapse r/t the shift from the is to the cells.

Back 28

hypotonic

Front 29

.45 NaCl and 2.5 dextrose are examples of

Back 29

hypotonic

Front 30

has less osmolarity then serum. water is then pulled from the vascular compartment

Back 30

hypotonic

Front 31

this has a higher osmolarity then serum. pulls fluids and electrolyts from the is into the intravascular compartment

Back 31

hypertonic

Front 32

d5%, .45Nacl, d5%LR, blood and slbumin

Back 32

hypertonic

Front 33

fluid shifts from the interstitial spaces into the intravascualar spaces

Back 33

hypertonic

Front 34

crystalloids are

Back 34

effective volume expanders

Front 35

crystaloids are ideal for pts who

Back 35

need fluid replacement.

Front 36

when using an isotonic crystalloid to control blood pressure from blood loss,what is the ratio

Back 36

3ml of crystolloid to every 1ml of blood loss

Front 37

watch for pulmonary edema with what fluid replacements

Back 37

crystalloid

Front 38

examples of crystalloids are

Back 38

LR, NS

Front 39

initial crystalloid replacement should not exceed how much before whole blood is instituted

Back 39

3 liters.

Front 40

colloids contain what that are too large to pass out of the capillary membrain and so they remail in the vascular compartment

Back 40

molecules, usually proteins

Front 41

colloids draw fluid from the .... and into the .....

Back 41

interstitial and intracellular compartments
vascular compartment.

Front 42

examples of colloids are

Back 42

albumin and steroids

Front 43

to deliver large amounts of fluid, what gauge needle should be used

Back 43

14-16

Front 44

this vein needs to be supported by tongue blades or hand board

Back 44

digital dorsal vein

Front 45

gauge needle that is used in digital dorsal vein are

Back 45

22-24

Front 46

primary choice for iv use

Back 46

dorsal metacarpal vein, cephalic vein

Front 47

pain radiating wupward from site usually is due to

Back 47

medication

Front 48

pain at site is due to

Back 48

cath, nerve tendon, ligament damage

Front 49

process in which a substance enters or infuses into another substance or surrounding area

Back 49

infiltration

Front 50

actual escape or leakage of materia from a vessel into the surrounding tissue

Back 50

extrvasation

Front 51

an agent that is irritating and causes blisters

Back 51

vesicant