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20 Cards in this Set
- Front
- Back
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what can an lvn do with a central line?
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sterile dressing change ONLY
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what can an lvn do with a peripheral line?
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insert, access, flush
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what kind of bag can an lvn hang?
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blood/blood products, nutritional
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what CAN'T an lvn hang?
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medication, abx
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why are blood transfusions given?
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to improve
1) o2 carrying capacity 2) immunity 3) clotting factors 4) volume |
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is consent required to receive blood?
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yes, but only 1 consent form is required in chart for entire stay.
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what items are included in the inspection process?
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1) chart
2) iv site 3) bag and slip |
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not all blood products need to be run thru filtered tubing? t/f?
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false. ALL blood products must be filtered.
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what extra steps are taken with immunocompromised pt's?
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2ndary filter - palls filter. filters wbc's.
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what needle size is used for blood transfusions?
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18 or larger
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universal donor
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o
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universal recipient
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ab
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what about a and b
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accept their own and o only
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what is "whole blood"
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unprocessed blood
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what is ffp
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fresh frozen plasma = protein rich fluid in the blood
draws water to itself -> improves volume |
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1st s/sx of fluid overload
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respiratory crackles
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2nd s/sx of fluid overload
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increased bp
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late sign of fluid overload
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peripheral edema
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actions req'd when pt has xfusion reaction
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1) STOP xfusion
2) remove tubing 3) flush sl c ns 4) assess pt 5) ensure pt safety 6) notify dr & blood bank |
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what is plasmanate?
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NOT blood product
no filter reqd 5% albumin aka albuminate considered nutrition -> lvn CAN hang |
