Iv Therapy

Front 1

IV piggyback

Back 1

Small bag connected to UPPER Y-port of primary infusion bag; placed higher than than the primary bag

Front 2

IV tandem

Back 2

Small bag connected to LOWER Y-port of primary infusion bag; placed at same height as primary bag

Front 3

Volutrol/Pediatrol/Buretrol

Back 3

Smal container attached just below primary bag; has a filter

Front 4

Miniinfusion pump

Back 4

battery-operated pump allowing small amounts of fluid to be given within controlled infusion times; Ex: PCA pump, Epidural infusion

Front 5

Intermittent Venous Access

Back 5

Hep lock/ Saline lock; IV cath with small chamber; omits continuous IV therapy; must be flushed after administration of med.

Front 6

Colloids

Back 6

Contains proteins or other molecules that tend to remain intravascular for a long time. Examples: whole blood, plasma,packed RBCs

Front 7

Crystalloids

Back 7

solutions made by dissolving crystals into water; classified by tonicity (amount of particles present in a solution); can be isotonic, hypotonic, hypertonic

Front 8

Isotonic solution

Back 8

Same osmolality as body fluids; most common for ECF replacement; Ex: 0.9% NaCl, LR

Front 9

Hypotonic solution

Back 9

Osmolality is less than body fluids; Not a good choice for fluid replacement since most solution will leave the vascular space; Ex: D5W

Front 10

Hypertonic solution

Back 10

Have higher osmolality than body fluids; Draws water from intracellular spaces; Ex: D5LR, D10, D5, and 0.45% NaCl

Front 11

Why does TPN require a Central venous catheter?

Back 11

It is greater than 500 mOsm/L (is hyperosmotic)

Front 12

Nontunneled percutaneous central catheter

Back 12

Inserted through subclavian vein in upper chest or jugular in neck; tip resides in superior vena cava

Front 13

Tunneled percutaneous central catheter

Back 13

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

Front 14

True or false
Central Line dressing change is a sterile procedure

Back 14

True

Front 15

Infiltration

Back 15

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

Front 16

Phlebitis

Back 16

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!

Front 17

Metacarpal veins

Back 17

Top of hand; usually first choice for IV

Front 18

Basilic vein

Back 18

Runs along ulna of forearm and upper arm; suitable for large gauge catheter

Front 19

14 gauge catheter

Back 19

Large adolescents or adults; rapid infusion of fluids and/or blood; very painful

Front 20

16 gauge catheter

Back 20

Adolescents and adults; infusion of large amounts of fluids and blood

Front 21

18 gauge catheter

Back 21

Older children, adults, and adolecents; fluid rescusitation, obese pts, infusion of blood and viscous solutions

Front 22

24 gauge

Back 22

neonates, infants, and toddlers

Front 23

22 gauge

Back 23

infants, toddlers, children, adolescents, and adults (especially the aged and emaciated)

Front 24

Donor A

Back 24

Recipient can be A or AB

Front 25

Donor B

Back 25

Recipient can be B or AB

Front 26

Donor AB

Back 26

Recipient can be AB only

Front 27

Donor O

Back 27

Recipient can be A, B, AB, or O