Hondros 172 exam 1
3 Goals of IV therapy - ANS-Replace
Maintenance
Restore electrolytes
ABGs - ANS-pH: 7.35-7.45
CO2: 35-45
HCO3: 22-26
autonomy - ANS-independence
benficence - ANS-doing good
BUN - ANS-10-20 mg/dL
Calcium lab value - ANS-8.5-10.5
Causes of FVD - ANS-Fluid loss: vomiting, diarrhea, burns, hemorrhage
Fever, tachypnea, NPO
Causes of FVE - ANS-Heart Failure
Renal Failure
Sodium
Excess fluid intake
CHF patients - ANS-Hypertonic
Creatinine lab values - ANS-0.6-1.3
Decrease complications for pt getting IV therapy - ANS-Rights
Monitor pt
Verify allergies
Evidence based guide lines
Dehydration Assessment - ANS-low BP, increase HR, dizziness, low urine output, poor skin
turgor, dry mucous membranes
Delegate to UAP - ANS-Notify nurse
Pt complaints
Notice anything abnormal
Dr orders - ANS-Date/time
Med
Dose
Route
Frequency
Signature
Drop factor for IV fluids - ANS-On the packaging
Example of a vesicant - ANS-Dextrose
fidelity - ANS-faithfulness
Flagyl labs - ANS-Leukocyte, liver enzyme, AST,ALT
Flagyl side effects - ANS-Syncope atoxia, dark urine, incontintent, leukopenia
Flagyl used for - ANS-Bacterial infection
, Foods high in potassium - ANS-potatoes, raisins, bananas, spinach, avacados, carrots, fish,
orange juice
Gentamicin (why it's used) - ANS-Severe systemic infections of CNS, GI, resp
Gentamicin side effects - ANS-Pain, hypersensitivity, phlebitis
gentamicin toxicity - ANS-ototoxicity and nephrotoxicity
How long is restoration therapy - ANS-48 hrs
hypertonic solution - ANS-D5/0.9NS
D5/LR
hypertonic solution (what does it do) - ANS-Fluid to rush out of cell (shrink)
Hypo magnesium causes - ANS-Ng tube suction, diarrhea, diuretics
Hypo magnesium S/S - ANS-Tremors, seizures, tachycardia, dysthymia, parasthesia,
hyperactive reflexes
Hypotonic solution - ANS-1/2, 1/3, 1/4 normal saline
D2.5/W
hypotonic solution (what does it do) - ANS-Moves from intravascular (in vein) to intercellular (in
cell)
Makes cells explode
Informed consent includes - ANS-Risks, benefits, complications, alternatives
Invanz side effects - ANS-Increase or decrease blood pressure, arrhythmia, heart failure, N/V,
diarrhea
Invanz treats - ANS-Meningitis, colitis
isotonic solution - ANS-0.9 NACI
D5W
LR
D5/0.225% NACI
5% albumin
Isotonic solution (what does it do) - ANS-Stays in side bloodstream (homeostasis)
Justice - ANS-fairness; rightfulness
Levaquin (why it's used) - ANS-Used for bacterial infection
Levaquin side effects - ANS-nausea or vomiting, diarrhea, headache, and dizziness, altered
taste, swelling, tendon reflex
LR solution - ANS-Check compatibility
Don't use with increases lactate levels
Has dextrose, NA, CL, k+, calcium
Treatment for mild met. acidosis
Macrodrip - ANS-10-20 gtt/ml
Magnesium levels - ANS-1.5-2.5
Malpractice - ANS-Duty
Breach
Injury
Causation
metabolic acidosis - ANS-DKA
increase aspirin
Increase fat diet
3 Goals of IV therapy - ANS-Replace
Maintenance
Restore electrolytes
ABGs - ANS-pH: 7.35-7.45
CO2: 35-45
HCO3: 22-26
autonomy - ANS-independence
benficence - ANS-doing good
BUN - ANS-10-20 mg/dL
Calcium lab value - ANS-8.5-10.5
Causes of FVD - ANS-Fluid loss: vomiting, diarrhea, burns, hemorrhage
Fever, tachypnea, NPO
Causes of FVE - ANS-Heart Failure
Renal Failure
Sodium
Excess fluid intake
CHF patients - ANS-Hypertonic
Creatinine lab values - ANS-0.6-1.3
Decrease complications for pt getting IV therapy - ANS-Rights
Monitor pt
Verify allergies
Evidence based guide lines
Dehydration Assessment - ANS-low BP, increase HR, dizziness, low urine output, poor skin
turgor, dry mucous membranes
Delegate to UAP - ANS-Notify nurse
Pt complaints
Notice anything abnormal
Dr orders - ANS-Date/time
Med
Dose
Route
Frequency
Signature
Drop factor for IV fluids - ANS-On the packaging
Example of a vesicant - ANS-Dextrose
fidelity - ANS-faithfulness
Flagyl labs - ANS-Leukocyte, liver enzyme, AST,ALT
Flagyl side effects - ANS-Syncope atoxia, dark urine, incontintent, leukopenia
Flagyl used for - ANS-Bacterial infection
, Foods high in potassium - ANS-potatoes, raisins, bananas, spinach, avacados, carrots, fish,
orange juice
Gentamicin (why it's used) - ANS-Severe systemic infections of CNS, GI, resp
Gentamicin side effects - ANS-Pain, hypersensitivity, phlebitis
gentamicin toxicity - ANS-ototoxicity and nephrotoxicity
How long is restoration therapy - ANS-48 hrs
hypertonic solution - ANS-D5/0.9NS
D5/LR
hypertonic solution (what does it do) - ANS-Fluid to rush out of cell (shrink)
Hypo magnesium causes - ANS-Ng tube suction, diarrhea, diuretics
Hypo magnesium S/S - ANS-Tremors, seizures, tachycardia, dysthymia, parasthesia,
hyperactive reflexes
Hypotonic solution - ANS-1/2, 1/3, 1/4 normal saline
D2.5/W
hypotonic solution (what does it do) - ANS-Moves from intravascular (in vein) to intercellular (in
cell)
Makes cells explode
Informed consent includes - ANS-Risks, benefits, complications, alternatives
Invanz side effects - ANS-Increase or decrease blood pressure, arrhythmia, heart failure, N/V,
diarrhea
Invanz treats - ANS-Meningitis, colitis
isotonic solution - ANS-0.9 NACI
D5W
LR
D5/0.225% NACI
5% albumin
Isotonic solution (what does it do) - ANS-Stays in side bloodstream (homeostasis)
Justice - ANS-fairness; rightfulness
Levaquin (why it's used) - ANS-Used for bacterial infection
Levaquin side effects - ANS-nausea or vomiting, diarrhea, headache, and dizziness, altered
taste, swelling, tendon reflex
LR solution - ANS-Check compatibility
Don't use with increases lactate levels
Has dextrose, NA, CL, k+, calcium
Treatment for mild met. acidosis
Macrodrip - ANS-10-20 gtt/ml
Magnesium levels - ANS-1.5-2.5
Malpractice - ANS-Duty
Breach
Injury
Causation
metabolic acidosis - ANS-DKA
increase aspirin
Increase fat diet
