Be familiar with adverse reactions related to blood
administration
Be familiar with a PICC line and the care required requires xray conformation; inserted in arm and the tip rest in the superior
vena cava; can be inserted at bedside, rn can remove; good for as long as
no evidence of iv related comp.
Be familiar with how to administer parenteral nutrition
Be familiar with the administration of intralipids · infuse 10% emulsion over at least 4 hrs
· infuse 20% emulsion over at least 6 hrs
· let lipids-only emulsion hang for 6-12 hrs
· let lipids-in-PPN solution hang for up to 24 hrs
· be alert for signs of intolerance to the fat emulsion;
-inc. triglyceride levels; inc. temp; chills; HA; NV; muscle ache, backache, or
chest pain (if any of these occur notify the physician to see if it should be
discontinued)
Allow infusion over 24 hrs
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Be familiar with the frequency of monitoring while
patients receive blood
Be familiar with the Infusion Nursing Society (INS)
standards for reducing infection related to IV Therapy
Be familiar with the steps for safely administering
blood therapy
Be familiar with various IV solutions (tonicity) hypotonic, hypertonic, isotonic
Identify nursing assessments taken to monitor a
patient with an IV
identify Pediatric and Geriatric considerations relative
to IV Therapy
Identify reasons for a Central line versus a Peripheral central: short central, PICC, port, tunneled cath
line. peripheral: short peripheral, long peripheral, midline
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