isotonic ANS 0.9% saline
270-300
hypertonic ANS 3%
greater than 300
hypotonic ANS 0.45%
less than 270
blood product requirements ANS facility identifier
lot number
product code
ABO type and Rh of donor
before giving blood ANS check hgb
peripheral 20 gauge or CVC
2 people to sign
stay for 15 min
informed consent
give it within 30 min of receiving product over 4 hours
blood infusion rate ANS start at 50 ml per hr for 15 min
VS after 15 min
can TPN be given thru peripheral ANS no; osmolarity of 1400
TPN contains ANS amino acids
, dextrose
vitamins
electrolytes
lipids
can you mix TPN with other meds ANS no
should TPN be tapered down ANS yes to not throw off lab values
CRBSI prevention bundle HANDS ANS hygiene, antisepsis, no-touch after cleaning,
documentation, scrub the hub
peripheral caths ANS supa short, up to 1.25 inches
midline caths ANS 3-8 inches
AC
PICC lines ANS AC
vesicant meds best put thru here
needs flushed with heparin daily
Non-tunneled percutaneous central venous catheter ANS Length 7-10in
Inserted through subclavian or jugular vein
short term use
tunneled percutaneous central venous catheter ANS a type of CVAD; intended for long-term use;
implanted into the internal or external jugular or subclavian vein; tunneled in subcutaneous tissue
under the skin