HONDROS NUR 172 FINAL REVIEW
100% ACCURATE
How to discontinue an IV - ANSWERApply little pressure with gauze over IV site while
removing IV then apply full amount of pressure to iv site after catheter is removed
How to prioritize patients - who gets seen first? - ANSWERABC's patient first
Airway issues always go first
what is the PIV gauge needle for blood administration - ANSWERAt least an 18 gauge
What if the patient refuses treatment due to a religious objection - what do you do? -
ANSWERRespect - right to refuse
Educate what could happen
Notify physician - any alternatives?
TA-GvHD: what is it? - ANSWERTransfusion associated graft - versus- host disease
TA-GvHD - who gets it - ANSWERImmunocompromised patients
(Fever, rash, abnormal liver function test, diarrhea)
What is local complication - ANSWERPhlebitis
what do you do if someone has phlebitis? - ANSWERstop infusion and start new IV in
other arm
signs of phlebitis as complication of IV therapy - ANSWERWill have a Palpable cord
Red line along with vein
What to do if output is greater than intake - ANSWERDehydrated: might need IV fluids
What to do if intake is greater than output - ANSWERdiuretic
What to watch for when administering 25% albumin (hypertonic) - ANSWERFluid
volume overload
what is AHTR - ANSWERAcute hemolytic transfusion reaction
Acute hemolytic transfusion reaction - ANSWERFever
Tachycardia
Drop in BP
Red urine (break down of RBC)
Sudden back pain
, types of isotonic solutions - ANSWER0.9 - trauma (hemorrhaging)
D5W
LR - burn patients
Lactated Ringer's Solution (LR) - ANSWERLR AKA Hartmann's solution
contains dextrose and e-lytes
must check compatibility
Fluid stays in vascular space
can Increase BP
types of Hypotonic solutions - ANSWER½ NS
0.225 NS
0.33 NS
D2W
hypotonic solution effects - ANSWERMoves out of the vascular space and into cells
can drop BP
types of hypertonic solutions - ANSWERAll dextrose solutions
NS and LR
D10
3% NS - ICU settings
2% NS - ICU settings
Blood
hypertonic solution effects - ANSWER"packed with particles"
Takes fluid from cells and puts into vascular space
Increases BP
Used for edema
Dextrose - what are the concerns when infusing this - ANSWERIrritating to the veins
does dextorse supply total nutrition? - ANSWERno
Hyponatremia - signs and symptoms - ANSWERseizures or death
Intervention for hyponatremia - ANSWERseizure precautions
care / steps to take when starting an IV - ANSWERWash hands
Skin prep - chlorhexidine, if not available - use alcohol
Check allergies
Avoid areas of flexion when starting long term IV's
MATH formulas - ANSWERDrops per minute: mL / minutes x gtt
ML per hour: mL / hour
100% ACCURATE
How to discontinue an IV - ANSWERApply little pressure with gauze over IV site while
removing IV then apply full amount of pressure to iv site after catheter is removed
How to prioritize patients - who gets seen first? - ANSWERABC's patient first
Airway issues always go first
what is the PIV gauge needle for blood administration - ANSWERAt least an 18 gauge
What if the patient refuses treatment due to a religious objection - what do you do? -
ANSWERRespect - right to refuse
Educate what could happen
Notify physician - any alternatives?
TA-GvHD: what is it? - ANSWERTransfusion associated graft - versus- host disease
TA-GvHD - who gets it - ANSWERImmunocompromised patients
(Fever, rash, abnormal liver function test, diarrhea)
What is local complication - ANSWERPhlebitis
what do you do if someone has phlebitis? - ANSWERstop infusion and start new IV in
other arm
signs of phlebitis as complication of IV therapy - ANSWERWill have a Palpable cord
Red line along with vein
What to do if output is greater than intake - ANSWERDehydrated: might need IV fluids
What to do if intake is greater than output - ANSWERdiuretic
What to watch for when administering 25% albumin (hypertonic) - ANSWERFluid
volume overload
what is AHTR - ANSWERAcute hemolytic transfusion reaction
Acute hemolytic transfusion reaction - ANSWERFever
Tachycardia
Drop in BP
Red urine (break down of RBC)
Sudden back pain
, types of isotonic solutions - ANSWER0.9 - trauma (hemorrhaging)
D5W
LR - burn patients
Lactated Ringer's Solution (LR) - ANSWERLR AKA Hartmann's solution
contains dextrose and e-lytes
must check compatibility
Fluid stays in vascular space
can Increase BP
types of Hypotonic solutions - ANSWER½ NS
0.225 NS
0.33 NS
D2W
hypotonic solution effects - ANSWERMoves out of the vascular space and into cells
can drop BP
types of hypertonic solutions - ANSWERAll dextrose solutions
NS and LR
D10
3% NS - ICU settings
2% NS - ICU settings
Blood
hypertonic solution effects - ANSWER"packed with particles"
Takes fluid from cells and puts into vascular space
Increases BP
Used for edema
Dextrose - what are the concerns when infusing this - ANSWERIrritating to the veins
does dextorse supply total nutrition? - ANSWERno
Hyponatremia - signs and symptoms - ANSWERseizures or death
Intervention for hyponatremia - ANSWERseizure precautions
care / steps to take when starting an IV - ANSWERWash hands
Skin prep - chlorhexidine, if not available - use alcohol
Check allergies
Avoid areas of flexion when starting long term IV's
MATH formulas - ANSWERDrops per minute: mL / minutes x gtt
ML per hour: mL / hour
