Iv Therapy Bohecker Ch 5,6,7 Vocab And Post Tests

Front 1

Balanced solution= Parenteral solution that contains...

Back 1

in proportions similar to those in plasma

Front 2

Catabolism= The breakdown of...

Back 2

chemical compounds by the body; an energy producing metabolic process

Front 3

Colloid= A substance that does not...and is capable of

Back 3

dissolve into a true solution...passing though a semipermeable membrane

Front 4

Example of a colloid

Back 4

Lactated Ringers

Front 5

Dehydration= A deficit

Back 5

of body water; can involve one fluid compartment or all three.

Front 6

Hydrating Fluid= A solution of water, Carbohydrate, sodium, and chloride used to determine

Back 6

adequacy of renal function

Front 7

Hypertonic solution= a solution with an osmolarity

Back 7

higher than that of plasma

Front 8

Hypotonic solution

Back 8

a solution with an osmolarity lower than that of plasma

Front 9

Isotonic

Back 9

A solution with the same osmolarity as plasma

Front 10

Maintenance therapy= Fluids that provide

Back 10

all nutrients necessary to meet daily patient requirements

Front 11

Normal Saline

Back 11

solution of salt 0.9% sodium chloride

Front 12

Plasma substitute= a solution of a

Back 12

synthetic substance, like dextran, used as a substitute for plasma

Front 13

Replacement therapy= replenishment of losses when

Back 13

maintenance can not be met and when patient is in a deficit state.

Front 14

Restoration therapy= reconstruction of fluid and

Back 14

electrolyte needs on a continuing basis until homeostasis returns.

Front 15

The three objectives of I.V. therapy are

Back 15

maintenance, replacement, and restoration

Front 16

The functions of glucose in parenteral therapy include all of the following EXCEPT:
a. provides calories for energy
b. helps to prevent negative nitrogen balance
c. reduces catabolism of protein
d. serves as vehicle for blood transfusions

Back 16

d. serves as a vehicle for blood transfusions

Front 17

Maintenance solutions are used for patients who are:
a. ingesting nothing by mouth for a short period of time
b. experiencing hemorrhage
c. dehydrated from GI losses
d. experiencing draining fistulas

Back 17

a. injesting nothing by mouth for a short period of time

Front 18

What is the most commonly used multiple electrolyte solution?

Back 18

Lactated Ringer's solution

Front 19

What is the most common complication of dextran administration?

Back 19

fluid overload

Front 20

What is the purpose of a colloid solution?

Back 20

to expand the interstitial compartment

Front 21

Dextrose and hypotonic sodium chloride solutions are considered hydrating fluids because:

Back 21

They maximize retention of potassium in the cell

Front 22

The expected outcome of administering a hypertonic solution is to:

Back 22

Hydrate cells

Front 23

Which of the following solutions are used to prime the administration set when blood is to be administered?

Back 23

0.9 percent sodium chloride

Front 24

cannula

Back 24

a tube or sheath used for infusing fluids

Front 25

check valve

Back 25

a device that functions to prevent retrograde solution flow; also called a backcheck valve

Front 26

Coring

Back 26

visible, as well as microscopic, particles of rubber bung displaced by the spike during piercing of the glass container or needle during access of implanted vascular access devices

Front 27

Drip chamber

Back 27

area of the I.V. tubing usually found under the spike where the solution drips and collects before running through the I.V. tubing

Front 28

Drop factor

Back 28

the number of drops needed to deliver 1ml of fluid

Front 29

filter

Back 29

a special porous device used to prevent the passage of undesired substances

Front 30

gauge

Back 30

size of cannula opening

Front 31

hub

Back 31

female connection point of an I.V. cannula where the tubing or other equipment attaches

Front 32

implanted port

Back 32

a catheter surgically placed into a vessel or body cavity and attached to a reservoir; the reservoir is placed under the skin

Front 33

infusate

Back 33

i.v. solution

Front 34

lumen

Back 34

the space within an artery, vein or catheter

Front 35

macrodrip

Back 35

drop factor of 10-20 drops equivalent to 1ml based on manufacturers specifications

Front 36

microaggregate

Back 36

microscopic collection of particles, such as platelets, leukocytes, and fibrin that can exist in stored blood

Front 37

microdrip

Back 37

drop factor of 60 drops/ml

Front 38

midclavicular catheter

Back 38

long(20-24in) i.v. access device made of a soft flexible vascular system and advanced to proximal axillary or subclavian veins

Front 39

Midline

Back 39

peripherally inserted catheter with the tip terminating in the proximal portion of the extremity, usually 6 inches in length

Front 40

Patient controlled analgesia(PCA)

Back 40

a drug administration system that allows the patient to self-adminster and regulate delivery of medication for pain control on a as needed basis

Front 41

Peripherally inserted central catheter(PICC)

Back 41

Long(20-24in) i.v. access device made of a soft flexible material inserted inot one of the superficial veins of the peripheral vascular system and advanced to the superior vena cava

Front 42

Port

Back 42

point of entry

Front 43

prn

Back 43

acccording to circumstances. Used to describe devices used for intermittent infusions

Front 44

Psi

Back 44

pounds per square inch; a measurement of pressure:1psi equals 50 mm Hg or 68 cm H2O

Front 45

radiopaque

Back 45

material used in i.v. catheter that can be identified by radiographic examination

Front 46

rubber bung

Back 46

stopper of a glass container composed of numerous substances including rubber, chemical particles, and cellulose fibers

Front 47

stylet

Back 47

needle or guide that is found inside a catheter used for vein penetration

Front 48

tunneled catheter

Back 48

a catheter designed to have a portion lie within a subcutaneous passage before exiting the body

Front 49

when using a flexible plastic system, what type of administration set could you choose?

Back 49

vented or nonvented; both work with this system

Front 50

A 0.22-micron filter should be used when:
a. an additive has been combined with the solution
b. the patient is susceptible to infusion phlebitis
c. the infusion is delivered by the central route
d. all of the above

Back 50

d. all of the above

Front 51

The standard blood administration set has a clot filter of how many microns?

Back 51

170

Front 52

Microaggregate filters are used for

Back 52

administration of whole blood and packed cells stored more than 5 days

Front 53

a disadvantage of the glass system is that it:

Back 53

is breakable and difficult to store

Front 54

antimicrobial

Back 54

an agent that destroys or prevents the development of microorganisms

Front 55

bevel

Back 55

slanted edge on opening of a needle or cannula device

Front 56

dermis

Back 56

the corium layer of the skin composed of connective tissue, blood vessels, nerves, muscles, lymphatics, hair follicles, and sebaceous and sudoriferous glands

Front 57

distal

Back 57

farther from the heart; farthest from point of attachment(below the previous site of cannulation)

Front 58

endothelial lining

Back 58

a thin layer of cells lining the blood vessels and heart

Front 59

epidermis

Back 59

the outermost layer of skin covering the body, which is composed of epithelial cells and is devoid of blood vessels

Front 60

micrabrasion

Back 60

superficial break in skin integrity that may predispose the patient to infection+

Front 61

prime

Back 61

to fill the administration set with infusate for the first time

Front 62

proximal

Back 62

nearest to the heart;closet point to attachment(above the previous site of cannulation)

Front 63

List four steps in maintaining patency of a saline locking device when giving a medication

Back 63

1. check patency
2. flush with 1ml of sodium chloride
3. administer medication
4. flush with 1ml of sodium chloride using positve pressure

Front 64

Before equipment setup and venipuncture, how many seconds of hand hygiene procedure with antimicrobial soap are recommended?

Back 64

15-20

Front 65

I.V. therapy labels should be on which areas?
a. catheter site, tubing, and solution container
b. tubing solution container, and chart
c. solution container, catheter site and patients armband

Back 65

a. catheter site, tubing, and solution container

Front 66

The order reads 1000ml of 5 percent dextrose and lactated ringers solution at 125 ml/h. Calculate the drip rate using 20 gtt factor tubing= ? gtt/min

Back 66

42 drops gtt/min

Front 67

what is the recommended frequency in which a patient receiving infusion therapy should be monitored?

Back 67

systematic, ongoing and documented

Front 68

14-to 16-gauge catheter choice:

Back 68

multiple trauma, heart surgery, transplantation procedures

Hint 68

ONC(over the needle catheters)

Front 69

18-gauge catheter choice:

Back 69

major trauma or surgery, blood administration

Hint 69

ONC(over the needle catheters)

Front 70

20-gauge catheter choice

Back 70

minor trauma or surgery, blood administration

Hint 70

ONC(over the needle catheters)

Front 71

22-gauge catheter choice:ONC(over the needle catheters)

Back 71

pediatric use, person wtih small veins, administration of plateletes or plasma

Hint 71

ONC(over the needle catheters)

Front 72

avoid using 22-gauge catheter when

Back 72

adminstering packed red blood cells, whole blood, and antibotic therapy.

Hint 72

ONC(over the needle catheters)