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Complications of IV therapy - ✔✔Circulatory overload, infiltration or extravasation,
phlebitis, local infection, bleeding
Isotonic fluids - ✔✔NS, LR, D5W
Solutions that have the same osmol as body fluids. Fluids do not enter the cell because
no osmotic force exists to shift the fluids, so it increases ECV
Hypotonic fluids - ✔✔0.45% NS
Solutions are more dilute or have a lower osmol than body fluids. Causes movement of
water into cells via osmosis. Administered slowly to prevent cellular edema.
Hypertonic fluids - ✔✔D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 %
Dextrose, D50W, 3%NS
Solutions are more concentrated or have higher osmol than body fluids. Concentrates
ECF and causes movement of water from cells into ECF via osmosis.
Crystalloids - ✔✔CLEAR solutions that contain electrolytes, may be used for fluid
volume replacement
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, Colloids - ✔✔CLOUDY solutions known as "plasma expanders." they pull fluids from
the interstitial compartments into the vascular compartment. they are used to increase
the vascular volume rapidly, such as with hemorrhage or severe hypovolemia.
Electrolytes to monitor during IV therapy - ✔✔Sodium, Potassium, and Magnesium for
sure!!! but also chloride and bicarb
Which lines can be used to infuse blood products? - ✔✔peripheral (20 gauge or larger
for adults) or central line
How long can you wait to start infusing the blood once it leaves the bank? - ✔✔30 min
What do you start the infusion rate at? (mL/hr) - ✔✔50 mL/hr for first 15 min
How long does the RN stay with the patient once the blood infusion has started? -
✔✔15 min. Take vitals at 15 minute mark
What do we monitor when administering TPN/PPN? - ✔✔fluid, electrolyte, and
glucose levels
What are 4 purposes of gastrointestinal intubation (NGT)? - ✔✔-Decompression:
relieves pressure in the bowel
-Lavage: irrigates stomach
-Gastric analysis
-Tube feedings
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