IV therapy (Potter and Perry Skills module on line for IV) Exam- 100% Pass!!

IV therapy (Potter and Perry Skills module on line for IV) Exam- 100% Pass!! isotonic fluids are generally given to correct this problem -Answer-fluid volume deficit 0.9% NaCl or D5W -Answer-an isotonic solution Never given IV push, as can cause cardiac arrest -Answer-Postassium chloride Isotonic fluids are generally given to correct this problem -Answer-fluid volume deficit administered to rehydrate cells ... 0.45% NaCl -Answer-a hypotonic solution given carefully to renal and cardiac patients because it pulls fluid into the vascular space -Answer-a hypertonic solution Have a larger capacity, greater in number, and have thinner walls, contain valves that prevent backward circulation..majority carry deoxygenated blood to the heart -Answer- veins When caring for a patient with a peripheral intravenous site, the nurse must perform maintenance care of the site. What does this include -Answer-Changing IV fluids Changing IV tubing Regulating the IV flow rate Changing the IV dressing Ongoing assessment tubing universally delivers 60 gtt per mL and is used when small or very precise volumes are to be infused. If an IV is ordered at a keep vein open rate (KVO), It is also preferred for pediatric applications and may be referred to as pediatric tubing. -Answer- Micro Drip tubing tubing typically delivers 10 or 15 gtt per mL. ___ drip tubing should be used when large quantities or fast intravenous infusion rates are necessary. -Answer-Macro drip tubing How often is it recommended that continuous IV infusion tubing be changed? -Answer- Every 72 hours Unexpected outcome... IV site is infiltrated -Answer-discontinue present Iv and restart new vascular access device Unexpected outcome... Patient develops elevated tempature -Answer-notify health care provider access vascular access site for signs of infection. prepare to obtain blood cultrue or culture of IV site to evaluate source of infection Unexpected outcome... Leakage noted at the connection -Answer-tighten connection change iv dressing Unexpected outcome... Flow rate is incorrect; patient receives too little or too much fluid -Answer-readjust infusion rate to ordered rate evaluate patient for adverse effects notify physician when anticipated volume is less than or greater than 100 to 200 ml as expected Unexpected outcome... Spike is contaminated during procedure -Answer-new iv tubing set is required Identify advantages of administering medication by the IV route. -Answer-Delivers medication quickly in an emergency Establishes therapeutic blood levels Causes less discomfort with highly alkaline medications than subcutaneous or intramuscular route The advantages of administering medication by the IV route are that it provides a route for administering medication when the drug must be delivered quickly, it is the preferred route when it is necessary to establish constant therapeutic blood levels, and it causes less discomfort with highly alkaline and irritating medications than the subcutaneous or intramuscular route. After a medication enters the bloodstream, it begins to act immediately. If the patient is allergic to the medication, the reaction will be more prompt. Administering medications by the IV route requires more knowledge and skill to prevent negative outcomes. Identify nursing precautions the nurse takes to ensure safe patient care when administering IV medications. -Answer-Observing for symptoms of adverse reactions Following the 6 rights of medication administration Being knowledgeable of the desired action and side effects of the medication Having the antidote available, if the medication has one Assessing vital signs before, during, and after infusion with potent medications Verifying the rate of administration with a drug reference or pharmacist Which of the following are advantages of volume-controlled intravenous infusions? - Answer-There is less risk of rapid-dose infusion (as compared with IV push) because medications are diluted and infused over longer time intervals (e.g., 30 to 60 minutes). It allows for administration of medications (e.g., antibiotics) that are stable for a limited time in solution. Administering medications by the IV route (bolus) has advantages... list -Answer- Administering medications by the IV route has advantages. Often the nurse uses the IV route in emergencies. The IV route is also best when it is necessary to establish constant therapeutic blood levels. Some medications are highly alkaline and irritating to muscle and subcutaneous tissue. These medications cause less discomfort when given intravenously. The IV route may be used to deliver medications in a small bolus, which is an advantage for a patient on a fluid restrictions. administering medication by the iv route (bolus) has disadvantages ....list -Answer- Disadvantages include the IV bolus being the most dangerous method for administering medications because there is a lack of time to correct errors. In addition, a bolus may cause direct irritation to the lining of blood vessels. The nurse is assessing the patient before administering a large-volume infusion with medication added. The nurse observes the IV site for signs of infiltration or phlebitis, looks at the patient's allergy band, assesses the patient's understanding