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39 Cards in this Set
- Front
- Back
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Subclavian and internal jugular veins |
Where would you place a no tunneled percutaneous central venous catheter? |
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Daily wt |
What would the nurse use as the most reliable indicator of a orients fluid balance status? |
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3-7 days |
How long does a non tunneled percutaneous central venous catheter stay in place |
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Given when clotting factors are low, helpful in fluid restoration during emergencies, also used as a volume expander |
Plasma |
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Plasma component given for hypovolemic shock or liver failure |
Albumin |
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Why is anti A and anti B antigen testing important? |
To prevent agglutination |
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Why should a nurse be precautions with a renal failure patient receiving blood? |
Puts them at risk for hyperkalemia r/t RBC'S deterioration |
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The nurse knows a patient c/o low back pain during a blood transfusion indicates |
Hemolytic reaction to blood or shock |
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The nurse knows a patient c/o low back pain during a blood transfusion indicates |
Hemolytic reaction to blood or shock |
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Why would steroids be given for a blood transfusion reaction? |
To stop inflammation |
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Why is urine obtained r/t blood transfusions? |
To test for hemolysis, HGB is destroyed and excreted in the urine when erythrocytes are destroyed |
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The nurse understands cold blood through a central line would cause... |
Arrhythmias, hypothermia, chills |
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If you can't aspirate blood through a triple lumen catheter, what would you do |
Call MD for X-ray confirmation of placement |
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If you enter the room to a patient with a central line cap off, what would the nurse do next? |
Replace cap, put them on the left side with head down and call MD |
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If you can't aspirate blood through a triple lumen catheter, what would you do |
Call MD for X-ray confirmation of placement |
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Where do fluids go in triple lumen catheter? |
Blue-medial |
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In which lumen would you administer blood? |
Brown-distal |
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In which lumen would you administer TPN? |
White-proximal |
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What size syringe flush to use with PICC lines? |
10ml |
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When changing the cap or removing a central venous catheter, the nurse would instruct the patient to... |
Valsalva, unless they have ICP, not alert or uncooperative |
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The nurses interventions for infiltration would be... |
Stop infusion, remove, elevate, apply warm compress |
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The nurse notes coolness at iv site with pain and edema with leaking around insertion site, she would document this as |
Infiltration |
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The nurse notices redness at iv site, it's warm to touch with localized swelling. There is a palpable cord along the vein and patient has a slight fever, she would document this as |
Phlebitis |
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What type of solution would the nurse give to a hypernatremic patient? |
Hypotonic bc of the high level of electrolytes and decreased water levels |
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When would the nurse give a hypertonic solution? |
Low level of electrolytes or protein (3rd spacing or massive blood loss) |
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The dr would order what kind of solution for a severe liver failure patient |
Hypertonic |
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Order of interventions if an adverse reaction to blood happens |
Stop transfusion, disconnect tubing and run NS KVO, check VS, notify MD |
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What does the nurse need to monitor after TPN is discontinued? |
Blood sugars, bc of possible hypoglycemia |
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TPN |
The nurse knows to use sterile technique with accessing TPN |
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The nurse would know to hang what IVF if TPN was not readily available? |
Dextrose (D10W) to prevent a sudden drop in glucose |
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Which product to give to active bleeding patient |
Cryoprecipitate |
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Which product to give to active bleeding patient |
Cryoprecipitate |
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Given to patients to increase oxygen levels of anemic patients or people who have low hGB or lost 25% of total blood volume |
Packed RBC's |
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Which product to give to active bleeding patient |
Cryoprecipitate |
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Given to patients to increase oxygen levels of anemic patients or people who have low hGB or lost 25% of total blood volume |
Packed RBC's |
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Given to patients with extreme blood volume loss |
Whole blood |
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What kind of solution can be given to patient through peripheral line for short periods of time |
D10-hypertonic |
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What kind of solution can be given to patient through peripheral line for short periods of time |
D10-hypertonic |
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The nurse understands this type of fluid to be given to hypovolemic patient |
Isotonic |
