NURA 1500 Exam 1- Infusion Therapy Questions And Answers With Latest Updates

pRBC - packed red blood cells IID - intermittent infusion device TLCL - triple-lumen central line 3 things to check for before using IVP, contrast dyes - kidney function (BUN), meds, allergies 8 R's of med administration - patient, drug, amount, route, time, documentation, education, and effect SALADs - sound-alike, look-alike drugs Isotonic Solutions - NS, LR, D5W (used to treat FVD, ex: vomiting, diarrhea) Indication for NS - correct ECF volume deficit, replace Na loss Indication for LR - correct Na loss, dehydration Indication for D5W - free water and correct increased serum osmolality Hypotonic Solutions - 1/2NS (0.45%NS) Indication for 1/2 NS - Replace ICF, provide free water to help eliminate waste Hypertonic Solutions - D5 (or greater) with NS, LR, TPNIndication for Hypertonic Solutions - Draws fluid from ICF to ECF Don't use Hypotonic solutions on patients with: - burns, liver disease, trauma Excessive use of Hypotonic Solutions may cause: - Decreased BP, cellular edema, IICP, cell damage, intravascular volume depletion D50W - used to restore blood glucose in unconscious hypoglycemic patients What are the ingredients of TPN? - glucose, electrolytes, carbs, protein, fat, vitamins 3% NS can cause: - Increased Intravascular Volume. Watch for pink, frothy fluid (indicates pulmonary edema) TPN replacement isn't available substitute with: - D10 (monitor BS) Colloid Solutions - Whole, Platelets, PRBC, albumin, Dextran Colloid solutions need: - to have signed consent form and type and cross match performed LR is converted to: - bicarb in the liver Do not place IVs: - in same side of mastectomy, in arm with AV fistula, arm with edema, infection, breakdown, arm affected by CVA Over the need catheter sizes - 26-12g, length= 3/8"-2" Chlorhexadine age limit - 2 months of age or older