Assessment2025- 2026 IV Intravenous
Therapy Exam 2 Review Questions and Answers |
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, Intravenous Therapy
Taylor- Fundamentals-
▪ Chapter 28 Medications
▪ Ch. 39 Fluid, Electrolyte, and Acid-Base Balance
o Administering IV Therapy to end of chapter (starts p 1500)
OBJECTIVES
At the completion of this lecture/lab, the student will be able to:
Demonstrate the correct psychomotor skills in relationship to:
Venipuncture
Priming IV tubing and hanging an IV bag
Regulating the flow rate
Discontinuing an IV line
Infusion Nurses Society
• Publishes the intravenous therapy standards of practice.
• Provides educational opportunities specific to IV therapy
• Defines the scope and practice of the IV nurse
• Defines the educational requirements of the IV nurse
IVF Indications- must be a reason and must have an order
• Fluid and electrolyte maintenance and balance
o Especially if someone isn’t getting enough PO
• Medication/blood administration
• Nutritional support for NPO status
• Administer diagnostic reagents
IV Fluids Nursing Diagnosis:
▪ Fluid volume de𝑓icit
▪ Fluid volume excess
IV Fluid Preparation
Two main groups IVF:
• Crystalloid
o Dissolved in solution (water)
▪ Most IVF
▪ Gets both fluid and solute into body
• Colloid
o Dispersed in solution, but not dissolved
▪ Will tend to stay in blood vessel
▪ Ex. Blood products
Delivered
• Plastic
• Glass (not as common)
Check IV bag and fluid for:
• Right fluid
• Expiration
• Clarity
• Leaks
, Crystalloid Intravenous Fluid Types
W- Water
NS- Normal Saline/ Sodium Chloride Solutions
• Percentages available in 0.25, 0.45, 0.9, 3%
o 0.9% often referred to as “normal saline”
▪ Isotonic
▪ Blood transfusions are always given with normal saline to avoid hemolysis
• Hemolysis will release K+
o 3.5-5 mEq/L K+ is normal
▪ Outside of this range affects the electrical conduction in heart
▪ Too much K+ will stop the heart!
o 0.45% is also referred to as “half normal saline”
o 0.25% also called “quarter normal saline”
o 3% is hypertonic
D- Dextrose (sugar) Solutions
• Percentages: 2.5, 5, 10, 20, 30, 40, 50, 70
• Most common:
o D5%W
▪ Isotonic
o D10% W
o D50%W- will raise blood sugar very quickly if someone is hypoglycemic
• Also available in combination with other solutions
Balanced Electrolyte Solutions
• Contain both water and electrolytes.
o Typically include potassium and chloride
• Common for treating patients experiencing trauma, GI fluid losses, dehydration, sodium
depletion, acidosis, and burns
• Common solutions
o LR- Lactated Ringer’s Solution, contains:
▪ Sodium as NaCL
▪ Sodium Lactate
• Lactate ions are metabolized ultimately to carbon dioxide and water,
which requires the consumption of hydrogen cations to form bicarbonate
• This produces a metabolic alkalinizing effect- treats acidosis
▪ Potassium as KCl
▪ Calcium as CaCl
o Normosol and Plasma-lyte are other electrolyte solutions
Hydrating Solutions
• Hydrating solutions are potassium free (see notes under 0.9% NaCl above)
o So it would be important to remember that any solution with K+ in it would not be given
quickly and would not be given in a solution that could cause hemolysis
• Combination of dextrose and sodium chloride solutions
o D5 NS