Assessment2025- 2026 IV Therapy & IV solution
EXAM 1 Review Questions and Answers | 100% Pass
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Intravenous
Whitley Talley
[COMPANY NAME] [Company address]
, IV Therapy & IV solution EXAM 1 Review
Iv therapy
o Requires direct access to vascular system
o Continuous infusion
o Periods of time-short or long term
o No sterile gloves for iv but site must remain sterile
• What I need to know
o Knowledge of fluid and reason why ordered
o Correct and needed equipment for procedure
o How to regulate rate and maintain system
o How to identify and correct problems
o How to discontinue
• Types of solution
o Isotonic-replaces ECV
wells
o Hypotonic- moves water into cell and the cell s
o Hypertonic- pulls water out and cell shrinks
ms
o Too rapidly or excessive leads to serious proble
• Isotonic Hypotonic Hypertonic
0.9% Saline (N/S) 0.45% Saline (1/2 NS) 3% saline ; 5% saline
5% Dextrose in Water (D5W) 0.225% Saline (1/4 NS) 10% Dextrose in Water
5% Dextrose in 0.225 Saline (1/4 NS) 0.33% Saline (1/3 NS) 5% Dextrose with 0.9% saline
Lactated Ringers (LR) 5% Dextrose in ½ NS
5% Dextrose in LR
o n/s=0.9 saline- sodium and sterile water
o lactated ringers= consists of electrolytes; used for dehydration and to restore lytes
o 0.45= half of saline (burn pt)
o Dextrose= sugar water
▪ When using dextrose, always look for hyperglycemia
• Adding potassium CL (KCL)
o Always get an order
o Never give iv push
▪ Iv push- meds are drawn into syringe and pushed directly into port and goes directly
into the bloodstream
o Check kidney function and urinary output BEFORE administration
o Hypokalemia can form quickly-can stop heart and lead to death
o [tall t waves indicate the level of
potassium] Vascular access devices (vad)
•
o Catheter or infusion ports
▪ Repeated access to vascular system
▪ Short term/long term
• Peripheral/central/implanted ports
o Peripheral catheter
▪ Short term
▪ After surgery
▪ Antibiotic administration
▪ On the extremities
o Central catheter
▪ Long term
▪ Empty into central vein
▪ Subclavian/jugular
ion
▪ Central applies to location of catheter tip, not the insert
o Picc line- peripherally site
▪ Long time
▪ Cancer pt
▪ Long term antibiotics