2000- Test 1 Iv Therapy

Front 1

3 reasons for intravenous access are

Back 1

-fluid replacement
-medication administration
-blood administration

Front 2

Considerations for IV site selection are

Back 2

distal first
non-dominant side
splinted area
soft and straight
good blood flow

Front 3

Areas to avoid with IV site

Back 3

areas of infiltration or redness
mastectomy or graft sides
scars or lesions
areas of frequent motion

Front 4

The ____ vein is one of the best veins available because it is large and the forearm provides a natural splint.

Back 4

cephalic

Front 5

A 22 gauge catheter is ____ than a 14 gauge catheter.

Back 5

smaller

Front 6

To deliver large amounts of fluid you should select a large vein and use a ____ catheter.

Back 6

14-16 gauge

Front 7

To administer medications a ____ gauge catheter in a smaller vein will work.

Back 7

18-22

Front 8

A ____ catheter is about 8 inches long, threaded into SVC, for short term IV use and can be kept in arm up to 4 weeks.

Back 8

midline

Front 9

Redness at site or along vein, warm to touch, pain, edema, sluggish flow, hard, red, cordlike vein are S/Sx of ______.

Back 9

phlebitis

Front 10

Tx for phlebitis is

Back 10

heat.

Front 11

Tx of infiltration is

Back 11

ice and elevation

Front 12

Tx of extravasation is

Back 12

ice and try to aspirate as much drug as possible. Elevate extremity and administer antidote.

Front 13

Regitine is indicated for the prevention or treatment of dermal necrosis following IV administration and extravasation of _____.

Back 13

norepinephrine

Front 14

A _____ agent is one that is irritating and causes blistering.

Back 14

vesicant

Front 15

_____ drugs are cytotoxic.

Back 15

Chemotherapeutic

Front 16

IM injections are ___ degrees.

Back 16

90

Front 17

SQ injections are ____ degrees.

Back 17

45

Front 18

Intradermal injections are ____ degrees.

Back 18

15

Front 19

___ are the primary carrier of oxygen.

Back 19

RBCs

Front 20

____ are substances that stop or prevent bleeding.

Back 20

Platelets

Front 21

____ replaces blood volume and clotting factors.

Back 21

Plasma

Front 22

____ are substances in the blood that help it thicken/clot.

Back 22

Clotting factors

Front 23

___ is a concentrate of clotting factors.

Back 23

Cryoprecipitate

Front 24

____ is the yellow liquid portion of blood.

Back 24

Plasma

Front 25

Packed red cells have most of the ___ and other cells are removed.

Back 25

plasma

Front 26

A ____ reaction occurs from incompatible blood. S/Sx are backache, hypotension, dyspnea, cyanosis, chills and fever.

Back 26

hemolytic

Front 27

Tx for hemolytic reaction is

Back 27

stop blood immediately, run NS, call MD, keep blood bag for analysis, monitor VS and I and O

Front 28

____ blood reaction is sensitivity to WBCs, platelets, or plasma proteins. S/sx are fever, chills, muscle aches, h/a, flushing.

Back 28

Febrile

Front 29

Tx for febrile reaction is

Back 29

D/c infusion and give antipyretics

Front 30

____ reactions can be mild or severe. Mild is due to sensitivity to plasma proteins. Severe is an antigen-antibody reaction.

Back 30

Allergic

Front 31

S/Sx of circulatory overload are

Back 31

cough, crackles, hypertension, JVD, tachycardia

Front 32

Tx of overload is

Back 32

-stop or slow infusion
-sit patient upright
-evaluate lungs
-oxygen and diuretics as ordered
-monitor VS and I and O

Front 33

____ occurs when the blood is contaminated. S/Sx are chills, fever, vomiting, hypotension, diarrhea.

Back 33

Sepsis

Front 34

Tx for sepsis is

Back 34

-stop transfusion
-keep blood for lab
-blood cultures
-IV fluid support
-antibiotics

Front 35

Whole blood and PRBCs should hang with ____ using a Y tubing and filter. No more than ___ to infuse and with no other meds or drips.

Back 35

normal saline solution
4 hours

Front 36

____ is the universal blood donor.

Back 36

O negative

Front 37

____ is the universal blood recipient.

Back 37

AB positive

Front 38

Type A blood has ____ antigen.

Back 38

type B

Front 39

____ does not require type and crossmatch. It must infuse within 4 hours and cabe given 10 minutes per unit.

Back 39

Platelets

Front 40

____ is used for bleeding and when giving large amts of PRBCs. Must give within 6 hours of getting from blood bank. Straight line- no filter needed.

Back 40

Fresh Frozen Plasma

Front 41

____ can be given by straight set or IV push. No type and cross match is required.

Back 41

Coagulation factors

Front 42

____ is used to treat shock and hypoproteinemia. Give slowly to prevent circulatory overload and it requires special tubing that comes with the bottle.

Back 42

Albumin