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25 Cards in this Set

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What is parenteral therapy?
aka IV therapy, infusion of fluids into the veins
Who prescribes IVs?
healthcare provider (DR. or NP)
How does a nurse play a role in IV therapy?
nurse administers and maintains the IV therapy
What are the 3 ways that an IV infuses?
Gravity (gtt/min)
Dial-a-Flow (ml/hr)
Infusion control device (ml/hr)
What are the Primary components of an IV set?
Bag of Solution (std= 1000ml)
Drip chamber
Regulation Clamp
Tubing
What are the different types of solutions?
Nutrients,
Blood Volume Expanders,
Electrolytes
Two types of Nutrient Solutions
D5W
TPN (Hyper A)
Boold Volume Expanders
Dextran
Plasma
Human serum albumin
Types of Electrolyte Solutions
-Normal Saline (0.9%)
-1/2 normal saline (045%)
-Ringer's solution
-Lactated Ringer's
Drop Factor:
Macro
10 gtt/ml
Drop Factor:
Standard
15 gtt/ml
Drop Factor:
Micro/pedi/mini
60 gtt/ml
ml/hr used with :
Infusion pump and dial-a-flow
Common IV sites
Peripheral
Central line
Central Line IV kinds
subclavian
jugular
ports
PICC line
Flow Rate factor:
positional IV
height of IV solution bag
infiltration
patency and position of tubing
Complications of IV therapy:
phlebitis
circulatory overload (hypervolemia)
allergy to solution
septicemia
Problems with Hypervolemia:
cardiac failure
pulmonary edema
others
Assessments to consider for IV therapy
Bleeding at needle insertion site
correct solution
assess flow rate
Average Flow Rate
30 gtt/min
100 ml/hr
TKO flow rate
5-10 gtt/min
10-20 ml/hr
Assess the System:
LH2TA
Check for LEAKS
Check HEIGHT of bag above needle
and HEIGHT of fluid in bag
Check TUBING position
Check for AIR in tubing
Heparin (Saline) Lock?
venous access for intermittent or emergency Fluids and Meds
Advantages of Heparin (Saline) lock:
keeps vein ready for access
more convenient and comfortable than TKO IV
(More freedom of movement)
Can a Primary IV line be Converted to Hep Lock?
Yes (totally)