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18 Cards in this Set
- Front
- Back
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Define: "Intravenous Admixture"
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"the preparation of pharmaceutical product which requires the measured addition of a medication to a 50 mL or greater bag/bottle of IV fluid"
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What regulates the flow in an IV administration of a drug?
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The roller clamp
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Name parts A through F
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A - IV Bag
B - Roller Clamp C - Injection Port D - Spike Adapter E - Drip Chamber F - Needle Adapter |
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What are the two most common set sizes?
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20 drops/mL and 60 drops/mL
The latter can be called a micro- or mini-drip set |
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When would you want to use an IV pump?
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When precise rates or positive pressure is required
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Math Time!
The MD calls for 2,000 mL of solution to be administered over 10 hours. Using the standard set size of 20 drops/mL, how many drops per minute should be delivered to the patient? |
2000 mL / 10 drops/mL = 20,000 drops
10 hours * 60 min/hr = 600 min 20,000 drops / 600 min = 33.3 drops/min |
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What are the most common sources of error?
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In order
1) Prescribing 2) Administration 3) Transcription 4) Dispensing |
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What are the most common mixtures to have IV compatibility problems?
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Those which contain:
1) Mannitol 2) Bicarbonate 3) Nutritional Solutions 4) Other Electrolytes |
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What are the four basic characteristics to remember for IV compatibility?
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1) Physical
2) Chemical 3) Therapeutic 4) Microbiological |
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What are examples of therapeutic IV compatibility issues?
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- Interactions with other drugs
- Interaction with endogenous physiological chemical agents - Interaction with components of the diet - Interaction with chemicals used in diagnostic test or the results of such tests |
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Define: "Pharmaceutical Incompatibility"
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Incompatibility of pharmaceuticals... seriously.
Often seen as a precipitation, haze, gas bubbles or cloudiness |
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True or False
Drugs and IV solutions should be at the same pH? |
True
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True or False
Changing the order of mixing is a poor way to improve incompatibility |
False
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True or False
Higher temperature promotes degradation |
True
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True or False
Nitrofurantoin and amphotericin B must be protected from light during administration |
True
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True or False
Higher concentrations are less likely to be incompatible |
False
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Define: "DEHP"
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Most common phthalate plasticizer used in PVC plastics.
Often found in flexible bags, tubing and protective devices |
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What is another word used in class for "pants"?
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Trousers
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