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27 Cards in this Set

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IV piggyback
Small bag connected to UPPER Y-port of primary infusion bag; placed higher than than the primary bag
IV tandem
Small bag connected to LOWER Y-port of primary infusion bag; placed at same height as primary bag
Volutrol/Pediatrol/Buretrol
Smal container attached just below primary bag; has a filter
Miniinfusion pump
battery-operated pump allowing small amounts of fluid to be given within controlled infusion times; Ex: PCA pump, Epidural infusion
Intermittent Venous Access
Hep lock/ Saline lock; IV cath with small chamber; omits continuous IV therapy; must be flushed after administration of med.
Colloids
Contains proteins or other molecules that tend to remain intravascular for a long time. Examples: whole blood, plasma,packed RBCs
Crystalloids
solutions made by dissolving crystals into water; classified by tonicity (amount of particles present in a solution); can be isotonic, hypotonic, hypertonic
Isotonic solution
Same osmolality as body fluids; most common for ECF replacement; Ex: 0.9% NaCl, LR
Hypotonic solution
Osmolality is less than body fluids; Not a good choice for fluid replacement since most solution will leave the vascular space; Ex: D5W
Hypertonic solution
Have higher osmolality than body fluids; Draws water from intracellular spaces; Ex: D5LR, D10, D5, and 0.45% NaCl
Why does TPN require a Central venous catheter?
It is greater than 500 mOsm/L (is hyperosmotic)
Nontunneled percutaneous central catheter
Inserted through subclavian vein in upper chest or jugular in neck; tip resides in superior vena cava
Tunneled percutaneous central catheter
A portion of the catheter lying in a sub-Q tunnel separates the points at which the catheter enters the vein from where it exits the skin;used forfrequent and long term infusion therapy
True or false
Central Line dressing change is a sterile procedure
True
Infiltration
IV fluids enter surrounding space of venipuncture site; swelling, pallor, coolness; IV must be discontinued,restarted at another site, warm towel to area for 20-30min and keep elevated
Phlebitis
Localized infection of vein;pain,edema, erythema,increased skin temp; IV must be discontinued and restarted at another site, warm towel to site. Dangerous! can result in clots!
Metacarpal veins
Top of hand; usually first choice for IV
Basilic vein
Runs along ulna of forearm and upper arm; suitable for large gauge catheter
14 gauge catheter
Large adolescents or adults; rapid infusion of fluids and/or blood; very painful
16 gauge catheter
Adolescents and adults; infusion of large amounts of fluids and blood
18 gauge catheter
Older children, adults, and adolecents; fluid rescusitation, obese pts, infusion of blood and viscous solutions
24 gauge
neonates, infants, and toddlers
22 gauge
infants, toddlers, children, adolescents, and adults (especially the aged and emaciated)
Donor A
Recipient can be A or AB
Donor B
Recipient can be B or AB
Donor AB
Recipient can be AB only
Donor O
Recipient can be A, B, AB, or O