Quiz 2 hondros 172 Questions And Answers With 100% Correct Answers

thrombophlebitis - inflammation of a vein with clot formation Lorazepam (Ativan) - status epilepticus, sedation, alcoholic, anxiety, hypotension DON'T GIVE IF PREGNANT RISK 4 ORTHOSTATIC HYPOTENSION Co2(respiratory) is compensating - Lungs wash hands for at least - 20 seconds Airborne precautions - TB, measles, varicella Put pt in single pt room Negative pressure room N 95 mask, hepa Antidote for Coumadin - Vit k Central Line Bundle - - Hand hygiene prior to catheter insertion - Sterile barrier precautions- cap, mask, sterile gown and gloves, sterile drape - Chlorhexidine skin antisepsis - Avoidance of femoral site - Daily review of line necessity with prompt removal of unecessary lines Clean needless connector - For 15secsClean skin let dry COMPLETELY BEFORE INSERTING IV don't fan or blow contact precautions - C diff Wear gloves and gown Droplet precautions - Mumps, influenza Wear eye protection Mask Put patient in private room Pt wears mask wen leaving room Elastomeric pump - Balloon pump used for Chemotherapy Antibiotics Pain meds Full compensation - pH is normal, pCO2 AND HCO3 are abnormal Hco3(metabolic) is compensating - Kidneys Heparin - Anticoagulant (blood thinner) Treats blood clots, DVT Heparin - blood thinner prevents dvt, swelling, pain, warmthInfusion given in hrs - Ml —— = ml/hr Hr Infusion given in mins - Ml —— X 60 mins= ml/hr Min Infusion given in mins - Ml —— X Drop factor= gtt/min Min Infusion given in ml/hr - Ml/hr ———- X drop factor = gtt/min 60mins LPN can administer - Heparin Antibiotics: Azithromycin (Zithromax) Cefazolin (ancef) "Mycin" Meds no compensation - pH abnormal, 1 system abnormal (hco3 or co2) normal INR for Coumadin - 2-3partial compensation - pH, CO2, and HCO3 are ALL abnormal phlebitis - -Inflammation of the vein ..caused by contaminated needle, placing over joint, irritating medications -clean skin for at least 1 minute.. let skin DRY S/s: streak formation, swelling, warm, palpable cord, pain, slow iv rate Can lead to local infection or bsi Mechanical, bacterial,chemical Phlebitis Scale - 0: no symptoms 1: erythema w/or w/o pain 2: pain at access site w/erythema and/or edema 3: pain at access site with erythema and/or edema; STREAK FORMATION, PALPABLE CORD 4: pain at access site w/erythema and/or edema, streak formation, palpable cord, PURULENT DRAINAGE Potassium - Kcl Primary tubing - Change every 96 hrs Antibiotics Rifampin (Rifadin) - antibiotic that TREATS TB Lowers wbc(), puts patient at risk for infection -Could lower platelets (150k-450k) s/s of sepsis - Low urine outputHypotension Increased wbc Secondary or ivpb tubing - Change every 24 hrs Antibiotics Sepsis - bacterial infection in the blood stream LIFE THREATENING Treatment: Culture, give iv fluids, remove catheter ABGs - pH 7.35-7.45 PaCO2 35-45 HCO3 22-26 Therapeutic inr - 3= bleeding Less than 2= clotting Warfarin (Coumadin) - Treat and prevent blood clots S/s: bleeding Y tubing - Change every 4 hrs Transfusions